KAISER FOUNDATION HOSPITALS (NPI# 1639244262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639244262 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HOSPITALS |
| Other Organization Name | KAISER FOUNDATION HOSPITAL WALNUT CREEK |
| Practice Address |
1425 S Main St Walnut Creek CA 94596-5318 |
| Practice Telephone | 9252954000 |
| Mailing Telephone | 9252954000 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2013-01-16 |
| Authorized Official Name | MS. COLLEEN M MCKEOWN (SENIOR VICE PRESIDENT, AREA MANAGER) |
| Authorized Official Telephone | 9252955888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 140000290 | CA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HSP40635H | 05 | |
| CA | ZZR00072F | 05 | |
| CA | BLUE SHIELD OF CA | ZZZA0706Z | 01 |
| CA | USDOL | 339040908 | 01 |
| CA | SECTION 1011-DHS | 050072B000000 | 01 |
| CA | BLUE SHIELD OF CA | ZZZC0705Z | 01 |
| CA | BLUE CROSS OF CA | 50072 | 01 |
| CA | BLUE CROSS OF CA | 50635 | 01 |
| Other Name | Type Code |
|---|---|
| Kaiser Foundation Hospital Walnut Creek | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609496215 | Kaiser Foundation Hospitals | Pharmacy | 274 International Cir Fl 1 Rm 104, San Jose, CA 95119 | 2020-04-23 |
| 1740822766 | Kaiser Foundation Hospitals | Pharmacy | 18600 S Figueroa St Fl-1, Rm S1085a, Gardena, CA 90248-4505 | 2019-10-10 |
| 1770045395 | Kaiser Foundation Hospitals | Pharmacy | 3100 Dublin Blvd Fl 2, Rm 2353, Dublin, CA 94568-4363 | 2019-04-02 |
| 1619432598 | Kaiser Foundation Hospitals | Clinic/Center | 27200 Iris Avenue Mob 2, Moreno Valley, CA 92555-4803 | 2019-02-05 |
| 1134612468 | Kaiser Foundation Hospitals | Clinic/Center | 1721 Technology Dr Ste 245, San Jose, CA 95110-1305 | 2018-06-12 |
| 1265888630 | Kaiser Foundation Hospitals | Pharmacy | 9521 Dalen St Rm R, Downey, CA 90242-4847 | 2016-05-04 |
| 1891048807 | Kaiser Foundation Hospitals | General Acute Care Hospital | 2875 Nw Stucki Ave., Hillsboro, OR 97124-5806 | 2012-10-16 |
| 1689940991 | Kaiser Foundation Hospitals | Pharmacy | 2295 S Vineyard Ave Bldg H, Ontario, CA 91761-7925 | 2012-03-30 |
| 1497061089 | Kaiser Foundation Hospitals | Pharmacy | 9400 Rosecrans Ave Fl 2, Bellflower, CA 90706-2246 | 2010-08-20 |
| 1962724856 | Kaiser Foundation Hospitals | Hospice Care, Community Based | 17542 East 17th Street, Suite 300, Tustin, CA 92780-1960 | 2010-02-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | KAISER FOUNDATION HOSPITALS | One Kaiser Plaza, Oakland, CA 94612 |
| New York State Corporations | KAISER FOUNDATION HOSPITALS | 80 State Street, Albany, New York 12207 |
| Oregon Corporations, Companies and Business Names | KAISER FOUNDATION HOSPITALS | One Kaiser Plaza, Oakland, CA 94612 |
| Washington State Corporations | KAISER FOUNDATION HOSPITALS | One Kaiser Plaza, Oakland, CA 94612 |
| North Carolina Corporations | Kaiser Foundation Hospitals | 2626 Glenwood Avenue, Suite 550, Raleigh, NC 27608 |
| Massachusetts Corporations | KAISER FOUNDATION HOSPITALS | One Kaiser Plaza, Oakland, CA 94612 |
| Virginia Business Entities | KAISER FOUNDATION HOSPITALS | 1 Kaiser Plz, Oakland, California 94612-3610 |
| Connecticut Business Registrations | KAISER FOUNDATION HOSPITALS, A CALIFORNIA CORPORATION | One Kaiser Plaza, Oakland, CA 94612 |
| Street Address |
1425 S MAIN ST |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94596-5318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356342638 | Ingrid Wendy Fernandes | Internal Medicine | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2005-08-09 |
| 1982221297 | Michelle Nhumai Huynh | Pharmacist | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2020-07-02 |
| 1144869322 | Darrell James David | Registered Nurse | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2020-01-05 |
| 1306484530 | Kayla Galanter | Pharmacist | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-12-18 |
| 1184260804 | Carol Jean Mcmenamy | Social Worker | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-11-18 |
| 1871138990 | Gloria Yatmen Lai | Registered Nurse | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-11-12 |
| 1851945901 | Zsanell Go | Physical Therapist | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-07-26 |
| 1043776453 | Bridget Rochios | Registered Nurse | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-02-11 |
| 1518423920 | Britnie Lee Milam | Respiratory Therapist, Registered | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-02-11 |
| 1326503244 | Megan R Moore | Respiratory Therapist, Registered | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917229 | Alison M Khaddour | Behavior Technician | 800 S Broadway Ste. 310, Walnut Creek, CA 94596 | 2019-02-06 |
| 1134683618 | Ian Colas | Respiratory Therapist, Certified | 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 | 2019-01-29 |
| 1912474131 | Albert Dizon Miraflores | Behavior Technician | 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 | 2018-10-25 |
| 1487136834 | Daryn Stier | Social Worker | 80 Norlyn Drive, Walnut Creek, CA 94596 | 2018-09-02 |
| 1831682335 | Jessica Lim | Registered Nurse | 1357 Oakland Blvd, Walnut Creek, CA 94596 | 2018-06-08 |
| 1699278432 | Alanna Everhart | Behavior Technician | 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 | 2018-03-16 |
| 1962958108 | Derek Jue Md | Clinic/Center | 1812 San Miguel Drive, Walnut Creek, CA 94596 | 2016-08-28 |
| 1912369711 | Pamela Jean Lister | Marriage & Family Therapist | 2070 N Broadway, #5370, Walnut Creek, CA 94596 | 2016-03-22 |
| 1548635147 | Anne Lamoreaux Anderson | Behavioral Analyst | 800 South Broadway Suite #310, Walnut Creek, CA 94596 | 2015-12-08 |
| 1346619434 | Christine Anne Gotelli | Registered Nurse | 370 N. Civic Drive #311, San Francico, CA 94596 | 2015-09-18 |
| Find all providers in zip 94596 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962810408 | Ana Perez | General Acute Care Hospital | 2973 Santos Ln Apt 305, Walnut Creek, CA 94597-7561 | 2014-07-29 |
| 1609298504 | Nancy J Vuich Vi | General Acute Care Hospital | 121 Paulson Ln, Walnut Creek, CA 94595-1439 | 2014-01-10 |
| 1932461761 | Semon Bader, Md PC | General Acute Care Hospital | 1000 Springfield Dr, Walnut Creek, CA 94598-4341 | 2012-06-07 |
| 1295193209 | Kaiser | General Acute Care Hospital | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2016-02-04 |
| 1821244294 | Kaiser Permenante | General Acute Care Hospital | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2008-08-17 |
| 1891951612 | Kaiser Permanente | General Acute Care Hospital | 710 S Broadway, Suite 209, Walnut Creek, CA 94596-5294 | 2008-07-31 |
| 1790838480 | Claire Guzman-berbano | General Acute Care Hospital | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2007-01-18 |
| 1891843900 | Dawn Michelle Clark | General Acute Care Hospital | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2007-01-08 |
| 1821162306 | Kaiser | General Acute Care Hospital | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2006-11-17 |
| 1740215219 | John Muir Health | General Acute Care Hospital | 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598-3122 | 2006-07-12 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94596 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.