KAISER FOUNDATION HEALTH PLAN INC (NPI# 1033266358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033266358 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN INC |
| Other Organization Name | KAISER PERMANENTE PHARMACY |
| Practice Address |
1249 S Sunset Ave West Covina CA 91790-3960 |
| Practice Telephone | 6268132190 |
| Practice Fax Number | 6269602118 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2012-04-17 |
| Authorized Official Name | DAVID KVANCZ (VP NAT'L PHRMCY PROG & SVCS) |
| Authorized Official Telephone | 5626583510 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY21394 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0549987 | 01 | |
| CA | PHA213940 | 05 |
| Other Name | Type Code |
|---|---|
| KAISER PERMANENTE PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528940 | Kaiser Foundation Health Plan Inc | Pharmacy | 4647 Zion Ave Fl4, Rm 4825, San Diego, CA 92120-2507 | 2020-11-06 |
| 1023615150 | Kaiser Foundation Health Plan Inc | Pharmacy | 9550 Escondido Ave Fl 1, Rm 1100, Hesperia, CA 92345-9120 | 2020-10-01 |
| 1881204907 | Kaiser Foundation Health Plan Inc | Pharmacy | 25821 S Vermont Ave Fl 4, Rm 4049, Harbor City, CA 90710-3518 | 2020-08-04 |
| 1942820485 | Kaiser Foundation Health Plan Inc | Pharmacy | 5300 Mcconnell Ave Fl 1, Rm 1150, Los Angeles, CA 90066-7026 | 2020-04-24 |
| 1720607112 | Kaiser Foundation Health Plan Inc | Pharmacy | 6911 Convoy Ct Fl 1 Rm 1501, San Diego, CA 92111-1014 | 2020-04-15 |
| 1114568698 | Kaiser Foundation Health Plan Inc | Pharmacy | 7007 Romaine St, Los Angeles, CA 90038 | 2019-10-04 |
| 1588217236 | Kaiser Foundation Health Plan Inc | Pharmacy | 1021 Riverside Ave, Roseville, CA 95678 | 2019-07-22 |
| 1437618105 | Kaiser Foundation Health Plan Inc | Pharmacy | 12761 Schabarum Ave Plaza Level Rm 1100, Irwindale, CA 91706-6807 | 2019-03-13 |
| 1336607506 | Kaiser Foundation Health Plan Inc | Pharmacy | 3100 Dublin Blvd Fl 1, Dublin, CA 94568-4363 | 2019-03-06 |
| 1073085007 | Kaiser Foundation Health Plan Inc | Pharmacy | 615 W Avenue L Trailer, Lancaster, CA 93534-7211 | 2019-01-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | KAISER FOUNDATION HEALTH PLAN INC. | 1 Kaiser Plz, Oakland, California 94612-3610 |
| Street Address |
1249 S SUNSET AVE |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91790-3960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477578425 | Mark Wei Weng | Emergency Medicine | 1249 S Sunset Ave, West Covina, CA 91790-3960 | 2006-07-12 |
| 1538608146 | Lily Huang | Pharmacist | 1249 S Sunset Ave, West Covina, CA 91790-3960 | 2017-02-15 |
| 1881132702 | Steven Huang | Pharmacist | 1249 S Sunset Ave, West Covina, CA 91790-3960 | 2017-02-11 |
| 1265970271 | Jennifer Wingyin Li | Pharmacist | 1249 S Sunset Ave, West Covina, CA 91790-3960 | 2017-02-09 |
| 1720526106 | Jane Lau | Pharmacist | 1249 S Sunset Ave, West Covina, CA 91790-3960 | 2017-02-06 |
| 1184039661 | Melissa Lew | Family Medicine | 1249 S Sunset Ave, West Covina, CA 91790-3960 | 2014-06-24 |
| 1033475041 | Rafael Nunez Gutierrez | Family Medicine | 1249 S Sunset Ave, West Covina, CA 91790-3960 | 2012-04-03 |
| 1235462656 | Jason Nghia Duong | Family Medicine | 1249 S Sunset Ave, West Covina, CA 91790-3960 | 2009-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279067 | Liang-wen Chen | Acupuncturist | 1433 West Merced Ave. Suite 304, West Covina, CA 91790 | 2019-11-15 |
| 1245880517 | Cheuk Man Chan | Acupuncturist | 1433 W Merced Ave., #309, West Covina, CA 91790 | 2019-09-18 |
| 1982174561 | Alexandra Isaacs | Marriage & Family Therapist | 1215 W. West Covina Pkwy., West Covina, CA 91790 | 2018-11-27 |
| 1568949709 | Lulua Zulfikarali Bahrainwala | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Avenue #3940, West Covina, CA 91790 | 2018-07-20 |
| 1417442740 | Lydia Joy David | Nurse Practitioner | 1769 S Sunset Ave, West Covina, CA 91790 | 2018-06-28 |
| 1043721046 | Kimberly E Nevarez | Specialist/Technologist | 410 E Merced Ave Suite D, Suite D, West Covina, CA 91790 | 2017-10-17 |
| 1952825754 | Evan Lee Hendriks | Physician Assistant | 301 S Glendora Ave, Apt 2142, West Covina, CA 91790 | 2017-08-02 |
| 1669994588 | Meryl Francine Liu | Dentist | 1101 S. Glendora Ave #a, West Covina, CA 91790 | 2017-07-12 |
| 1326586330 | Athena Merianos | Marriage & Family Therapist | 1215 W. West Parkway, West Covina, CA 91790 | 2017-02-09 |
| 1912445990 | Lissette Bueno | Case Manager/Care Coordinator | 1517 West Garvey Ave North, West Covina, CA 91790 | 2017-02-09 |
| Find all providers in zip 91790 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871116574 | Altamed Health Services Corp | Pharmacy | 1300 S Sunset Ave Rm 100, West Covina, CA 91790-3342 | 2020-05-28 |
| 1366855512 | Btn Orange Pharmacy | Pharmacy | 140 North Orange Ave, Suite 103, West Covina, CA 91790 | 2014-06-05 |
| 1245416668 | Garfield Beach Cvs LLC | Pharmacy | 2370 S Azusa Ave, West Covina, CA 91792-1511 | 2008-01-16 |
| 1023052370 | Garfield Beach Cvs LLC | Pharmacy | 702 N Azusa Ave, West Covina, CA 91791-1010 | 2006-06-16 |
| 1891738068 | Longs Drug Stores California LLC | Pharmacy | 727 S Glendora Ave, West Covina, CA 91790-3707 | 2006-06-14 |
| 1669413605 | Garfield Beach Cvs LLC | Pharmacy | 2831 E Eastland Center Dr, West Covina, CA 91791-1624 | 2006-06-09 |
| 1972584837 | Star Healthcare Inc | Pharmacy | 140 N Orange Ave Ste 103, West Covina, CA 91790-2032 | 2005-11-08 |
| 1497142251 | Pharmedquest Pharmacy Services | Pharmacy | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2015-04-20 |
| 1477700649 | New 1 Pharmacy Inc | Pharmacy | 2707 E Valley Blvd, Unit 100, West Covina, CA 91792-3195 | 2008-08-19 |
| 1114054954 | Healthcare Medical Supplies Inc | Pharmacy | 1535 W Merced Ave, Suite 100, West Covina, CA 91790-3404 | 2007-02-28 |
| Find all providers in WEST COVINA | ||||
| City | WEST COVINA |
| Zip Code | 91790 |
Please comment or provide details below to improve the information on KAISER FOUNDATION HEALTH PLAN INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.