KAISER FOUNDATION HOSPITAL ANAHEIM ESRD
NPI 1922153865
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Anaheim, CA


Overall Rating: 3 out of 5 stars

NPI Status: Active since January 23, 2007

Contact Information

3460 E LA PALMA AVE
3RD FLOOR, SUITE 3132
ANAHEIM, CA
ZIP 92806
Phone: (714) 664-2440
Fax: (714) 664-2455

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • CLIA Number: 05D0682862
  • CLIA Cert. Type: Health Main. Organization
  • CLIA Exp. Date: 01-02-2027

About KAISER FOUNDATION HOSPITAL ANAHEIM ESRD

This page provides the complete NPI Profile along with additional information for Kaiser Foundation Hospital Anaheim Esrd, a provider established in Anaheim, California operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1922153865 assigned on January 2007. The practitioner's primary taxonomy code is 261QE0700X with license number 060000091 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Kaiser Foundation Hospital Anaheim Esrd. The authorized official of this NPI record is Mr. Mark E Costa (Svp Area Manager)

NPI
1922153865
Provider Legal Name
KAISER FOUNDATION HOSPITALS
Other Organization Name
KAISER FOUNDATION HOSPITAL ANAHEIM ESRD
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3460 E LA PALMA AVE 3RD FLOOR, SUITE 3132 ANAHEIM, CA 92806
Location Phone
(714) 664-2440
Location Fax
(714) 664-2455
Mailing Address
3460 E LA PALMA AVE 3RD FLOOR, SUITE 3132 ANAHEIM, CA 92806
Mailing Phone
(714) 664-2440
Mailing Fax
(714) 664-2455
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-23-2007
Last Update Date
04-13-2021
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According to the Dialysis Facility Compare program data, Kaiser Foundation Hospital Anaheim Esrd has an average overall quality rating based on the patient's quality of care based on data that dialysis centers report to Medicare. The Quality of Patient Star Rating for this facility is 3 out of 5 stars.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities
License No.
060000091
License State
CA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MARK E COSTA

Authorized Official Title
SVP AREA MANAGER
Authorized Official Phone
(714) 279-4100

Dialysis Facility Compare Information

Quality of Patient Care Rating Quality of Patient Care Rating
The Medicare program calculates star ratings using specific measure data reported by dialysis centers to Medicare and data from the In-Center Hemodialysis CAHPS Survey.
- 3 out of 5 stars - Average
Dialysis Facility TypeNon-profit
Is it part of a chain?Yes
Corporate NameKaiser Permanente
Shifts Starting After 5PM Shifts Starting After 5PM
If you can start your dialysis treatment at 5pm or later. These centers may also offer the ability for you to receive dialysis while you sleep.
No
In-Center Hemodialysis In-Center Hemodialysis
Hemodialysis is the most common method for treating advanced and permanent kidney failure. In hemodialysis, your blood flows slowly through a filter to remove wastes and extra fluids and the clean blood is returned to your body.
No
Number of Hemodialysis Stations Number of Hemodialysis Stations
The number of hemodialysis stations in the dialysis facility.
5
Peritoneal Dialysis Peritoneal Dialysis
Peritoneal dialysis is a treatment for kidney failure that uses the lining of your abdomen, or belly, to filter your blood inside your body. It uses a soft tube to fill your abdomen with a cleansing liquid that removes waste products from your body and the liquid is drained out of your body after a few hours.
Yes
Home Hemodialysis Training Home Hemodialysis Training
If the dialysis center offers training for patients and caregivers to learn to do hemodialysis treatments at home.
No
Certification or Recertification Date11-30-1999

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0682862
Facility Type
Health Main. Organization
Certificate Effective Date
January 03, 2025
Certificate Expiration Date
January 02, 2027
Laboratory Director
DR. JOHNNY H. JU
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Kaiser Foundation Hospital Anaheim Esrd on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1922153865, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
2
Doubled → 4
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 1 → 2 3 → 6 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 4 + 2 + 2 + 5 + 6 + 8 + 1 + 2 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1922153865.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Registered Nurse (Gastroenterology)
3460 E LA PALMA AVE
ANAHEIM, CA 92806
Respiratory Therapist, Registered
3460 E LA PALMA AVE
ANAHEIM, CA 92806
Pharmacist
3460 E LA PALMA AVE
ANAHEIM, CA 92806
Pharmacist
3460 E LA PALMA AVE
ANAHEIM, CA 92806
Audiologist
3460 E LA PALMA AVE
ANAHEIM, CA 92806
Pharmacist
3460 E LA PALMA AVE
ANAHEIM, CA 92806
Orthopaedic Surgery
3460 E LA PALMA AVE, ORTHOPEDICS
ANAHEIM, CA 92806
Internal Medicine (Pulmonary Disease)
3460 E LA PALMA AVE, MOB1 3RD FLOOR PULMONARY CLINIC
ANAHEIM, CA 92806
Physical Therapist
3460 E LA PALMA AVE
ANAHEIM, CA 92806
Physical Medicine & Rehabilitation
3460 E LA PALMA AVE, KAISER PERMANENTE, KARMER MOB-1, OCCUPATIONAL HEALTH
ANAHEIM, CA 92806
Physical Medicine & Rehabilitation
3460 E LA PALMA AVE
ANAHEIM, CA 92806
Clinic/Center (Physical Therapy)
3460 E LA PALMA AVE
ANAHEIM, CA 92806
Respiratory Therapist, Registered
3460 E LA PALMA AVE
ANAHEIM, CA 92806
Occupational Therapist
3460 E LA PALMA AVE
ANAHEIM, CA 92806
Physical Therapist
3460 E LA PALMA AVE
ANAHEIM, CA 92806
Physical Therapist
3460 E LA PALMA AVE
ANAHEIM, CA 92806
Internal Medicine
3460 E LA PALMA AVE, 2ND FLOOR, NEUROLOGY CLINIC
ANAHEIM, CA 92806
Internal Medicine (Nephrology)
3460 E LA PALMA AVE
ANAHEIM, CA 92806
Physical Therapist
3460 E LA PALMA AVE
ANAHEIM, CA 92806
Internal Medicine (Pulmonary Disease)
3460 E LA PALMA AVE, MEDICAL OFFICE BUILDING 1, 3RD FLOOR
ANAHEIM, CA 92806

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922153865, enumerated as an "organization" on January 23, 2007.

The provider is located at 3460 E LA PALMA AVE 3RD FLOOR, SUITE 3132 ANAHEIM, CA 92806 and the phone number is (714) 664-2440.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.