SAN FRANCISCO | 2425 Geary Boulevard | 266 FT | 14 FLOORS

[38 Geary]

The specs for 2425 Geary Blvd:
- 14 floors
- 623,000 sq ft for medical center and emergency department
- 300 beds

The site:
https://maps.app.goo.gl/6YdSMEnPnKfATgwy7

Exclusive: Kaiser proposes major new hospital in S.F., its first in the city in 70 years



By Catherine Ho, Staff Writer
April 21, 2026

Kaiser Permanente has proposed building a major new hospital in San Francisco that, if approved, would replace its current medical center and be the health care giant’s first new hospital in the city in more than 70 years. If the project gains city and state approval, it would convert the existing Kaiser San Francisco Medical Center at 2425 Geary Blvd. in the Anza Vista neighborhood to medical office buildings and build a new hospital across the street, at Geary and Divisadero Street, by 2033. The facility would mark a major expansion in real estate and capacity, with 300 private patient beds in roughly 623,000 square feet, an expanded emergency department and a new parking garage at 350 St. Joseph’s Ave. The current facility, which opened in 1954, has 239 semiprivate beds in about 367,000 square feet.

...

Kaiser’s two other locations in San Francisco — in Mission Bay and the French Campus in the Inner Richmond, which house outpatient specialty and primary care — would be unaffected by the proposed new hospital. The current hospital on Geary would remain open, with full services, during construction of the new one. The site of the proposed hospital is currently a Kaiser medical office and two Kaiser parking garages. They would have to be torn down.

...

Kaiser intends to submit proposals to the planning department by the end of May, obtain approvals and conduct public hearings in the first half of 2028, and begin construction in the second half of 2028.

https://www.sfchronicle.com/health/article/kaiser-san-francisco-hospital-22212640.php

[38 Geary]

NIMBYs are the dumbest people on the planet.

At a community meeting Monday at the Geary campus where Kaiser leaders described the project, some residents who live in the neighborhood expressed concerns about the height of the proposed hospital — 14 stories, compared to the current facility’s nine stories.

That would cast a long shadow on Geary Boulevard and make it harder for greenery to grow, and might lead to more wind at the street level, said Mary McFadden, who lives a few blocks away from the current facility.

McFadden said she’d like more information about how the new facility would benefit patients and the area, and why Kaiser is proposing to increase the size of the hospital more dramatically than the number of beds. “How does this really serve patients and the neighborhood?” she said.

https://www.sfchronicle.com/health/article/kaiser-san-francisco-hospital-22212640.php

[FoldingBoxes]

Originally Posted by homebucket

NIMBYs are the dumbest people on the planet.

The San Francisco version is really a wonder to behold, though. Anything to keep those incumbent values high.

[38 Geary]

The updated specs for 2425 Geary Blvd:
- 14 floors, 266 ft
- 692,000 sq ft for medical facilities
- 300 beds
- 1,250 sq ft of retail
- Parking for 1,003 cars across 12 floors, including 5 basement levels and space for 63 bicycles

The site:
https://maps.app.goo.gl/6YdSMEnPnKfATgwy7

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



By: Andrew Nelson 5:30 am on June 2, 2026

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.

...

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.

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.

https://sfyimby.com/2026/06/permits-file...-2190-ofarrell-street-san-francisco.html

[38 Geary]

And the renderings:

















https://sfyimby.com/2026/06/permits-file...-2190-ofarrell-street-san-francisco.html