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Facility Information

Facility ID: 630011683

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Kaiser Foundation Hospital Modesto

Other previous Names(s) known as:

  • Kaiser Foundation Hospital - Modesto

4601 Dale Road
Modesto, Ca   95356


Phone:(209) 735-4130

Managing District Office

Please contact the following Licensing and Certification office for any questions and/or concerns:

Sacramento District Office
3901 Lennane Drive, Suite 210
Sacramento, CA. 95834
Phone Number: (916) 263-5800

License Information

Licensee: Kaiser Foundation Hospitals
Accreditation, Regulation & Licensing Department
Oakland, Ca 94612

Licensee Type: Nonprofit Corp

License Number: 030000393

License Status: Active

License Category: General Acute Care Hospital

License Effective Date: 11/1/2016

Expiration Date: 10/31/2017

Total Bed Capacity: 152

Bed Classification/Services:

  • 152 General Acute Care

Other Approved Services:

  • Basic Emergency Medical
  • Cardiac Catheterization Laboratory Services
  • Mobile Unit - Cat Scan
  • Mobile Unit - Mri
  • Occupational Therapy
  • Physical Therapy
  • Respiratory Care Services
  • Social Services
  • Speech Pathology

Language Assistance Policy

Certification Information
Title 18 = Medicare
Title 19 = Medi-Cal (Medicaid)

Provider Category:

Last Certification Inspection Status:

Certification Status:

Approval Date:

Complaints/Facility Self-Reported Incidents/Inspection Results Summary/Adverse Events


Year: 2015


4Facility Self-Reported IncidentsFacility Self-Reported Incidents

1State Enforcement ActionsEnforcement Actions

7Survey DeficienciesSurvey Deficiencies

Year: 2014


4Facility Self-Reported IncidentsFacility Self-Reported Incidents

2State Enforcement ActionsEnforcement Actions

3Survey DeficienciesSurvey Deficiencies

Year: 2013


5Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

37Survey DeficienciesSurvey Deficiencies

Year: 2012


5Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

0Survey DeficienciesSurvey Deficiencies

Administration Information

to Present

Kaiser Foundation Hospitals
Relationship to Facility: Licensee

to Present

Friberg, Deborah
Relationship to Facility: Administrator

to Present

Margoschis, Shanthi
Relationship to Facility: Director Of Nursing

Ownership Information

None found

Operating Entities

None found