Permits Filed For Replacement Kaiser Hospital at 2190 O’Farrell Street, San Francisco

Kaiser Permanente San Francisco replacement hospital pedestrian view from across Divisadero Street, rendering by Perkins&WillKaiser Permanente San Francisco replacement hospital pedestrian view from across Divisadero Street, rendering by Perkins&Will

Permits have been filed for a proposed replacement hospital at 2190 O’Farrell Street in San Francisco’s Anza Vista neighborhood. The application aims to replace Kaiser Permanente’s 1954-built medical campus with a new 266-foot-tall hospital and a parking garage between O’Farrell Street and Geary Boulevard. Perkins&Will is responsible for the design.

Kaiser Permanente San Francisco replacement hospital seen from across Geary Boulevard, rendering by Perkins&Will

Kaiser Permanente San Francisco replacement hospital seen from across Geary Boulevard, rendering by Perkins&Will

Kaiser Permanente San Francisco replacement hospital garage view, rendering by Perkins&Will

Kaiser Permanente San Francisco replacement hospital garage view, rendering by Perkins&Will

The 266-foot-tall replacement hospital will contain approximately 760,900 square feet, including 692,000 square feet of medical facilities and roughly 1,250 square feet of retail. The 534,300-square-foot garage will provide space for 1,003 cars across 12 floors, including five basement levels. Additional space will be provided for 63 bicycles.

The complex will include a variety of functions across all 14 floors in the medical facility, including a full-floor emergency center, an ambulance bay, a blood bank facility, and over three hundred inpatient beds.

Kaiser Permanente San Francisco replacement hospital third-floor deck, rendering by Perkins&Will

Kaiser Permanente San Francisco replacement hospital third-floor deck, rendering by Perkins&Will

Kaiser Permanente San Francisco replacement hospital pedestrian pathway from along O'Farrell Street, rendering by Perkins&Will

Kaiser Permanente San Francisco replacement hospital pedestrian pathway from along O’Farrell Street, rendering by Perkins&Will

Kaiser Permanente San Francisco replacement hospital site plan, illustration by Perkins&Will

Kaiser Permanente San Francisco replacement hospital site plan, illustration by Perkins&Will

Perkins&Will is responsible for the design. The firm describes the design scheme as “a series of interconnected facade systems – tower, diagnostic & testing volume, city windows, and base – each with its own character while contributing to a cohesive architectural identity rooted in atmosphere, material expression, light, and relationship to the city.”

The exterior will be wrapped with a subtle variation of facade materials. Pre-cast concrete panels will wrap around the lower floors, with perforated aluminum panels around the middle floors and glazed curtainwall glass windows across the top floors. The third floor will include a dramatic sky lounge deck nestled below a cantilevered section overlooking Divisadero Street.

Kaiser Permanente San Francisco construction sequencing, illustration by Perkins&Will

Kaiser Permanente San Francisco construction sequencing, illustration by Perkins&Will

Kaiser Permanente San Francisco replacement hospital site plan, illustration by Perkins&Will

Kaiser Permanente San Francisco replacement hospital site plan, illustration by Perkins&Will

Kaiser Permanente San Francisco existing condition, image via Google Satellite outlined approximately by YIMBY

Kaiser Permanente San Francisco existing condition, image via Google Satellite outlined approximately by YIMBY

The roughly 3.5-acre property is an expansive block bound by Geary Boulevard, Divisadero Street, O’Farrell Street, and Saint Joseph’s Avenue. The property is a block away from the Target-anchored City Center and overlooking an SF Muni bus rapid transit line along Geary Boulevard.

Construction is estimated to cost over $100 million, a figure not inclusive of all development costs. According to reporting by Catherine Ho for the San Francisco Chronicle, completion could be expected as early as 2033.

Subscribe to YIMBY’s daily e-mail

Make YIMBY preferred on Google

Follow YIMBYgram for real-time photo updates
Like YIMBY on Facebook
Follow YIMBY’s Twitter for the latest in YIMBYnews

.

1 Comment on "Permits Filed For Replacement Kaiser Hospital at 2190 O’Farrell Street, San Francisco"

  1. Panhandle Pro | June 2, 2026 at 6:42 am | Reply

    Absolutely love it. SF has quietly become a much stronger medical city in the last five years, and will continue to do to. Look at this list!

    – UCSF Parnassus expansion underway, $4.3B, done by 2030.
    – The already great UCSF Mission Bay, which still has empty lots earmarked for future growth, will continue to expand.
    – The massive CPMC Sutter Health building on Van Ness which was over $2B (opened in 2019),
    – Zuckerberg SF General (opened 2016)
    – This project

    Tech gets all of the headlines, but don’t sleep on medical research / biotech in SF!

Leave a comment

Your email address will not be published.


*