1700950532 NPI number — KAISER FOUNDATION HOSPITALS

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700950532 NPI number — KAISER FOUNDATION HOSPITALS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KAISER FOUNDATION HOSPITALS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700950532
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/20/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
975 SERENO DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VALLEJO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94589-2441
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
707-645-2730
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
975 SERENO DRIVE
Provider Second Line Business Practice Location Address:
BAYVIEW NORTH ROOM 1112
Provider Business Practice Location Address City Name:
VALLEJO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94589-2226
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
707-645-2730
Provider Business Practice Location Address Fax Number:
925-645-2126
Provider Enumeration Date:
11/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CURRY
Authorized Official First Name:
DARRYL
Authorized Official Middle Name:
Authorized Official Title or Position:
SENIOR VICE PRESIDENT/AREA MANAGER
Authorized Official Telephone Number:
209-345-9003

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X , with the licence number:  100000739 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: HPC01565F , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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