KAISER PERMANENTE (NPI# 1063969160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063969160 |
| Entity Type | Organization |
| Organization Name | KAISER PERMANENTE |
| Other Organization Name | KAISER PERMANENTE WESTSIDE HOSPITAL |
| Practice Address |
2875 Nw Stucki Ave Hillsboro OR 97124-5806 |
| Practice Telephone | 9713102149 |
| Mailing Telephone | 9713102149 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |
| Authorized Official Name | MRS. PRUDENCIA SABADO BABAL (STAFF PHARMACIST) |
| Authorized Official Telephone | 9713102149 |
| Authorized Official Credential | PHARM D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 7866 | OR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Kaiser Permanente Westside Hospital | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588198402 | Kaiser Permanente | Medicare Defined Swing Bed Unit | 9945 Valgrande Way, Elk Grove, CA 95757-3004 | 2017-04-18 |
| 1205377611 | Kaiser Permanente | Clinic/Center | 965 N Humboldt St, Apt 201, Denver, CO 80218-3563 | 2017-03-17 |
| 1710427539 | Kaiser Permanente | Pharmacist | 10601 Viscaino Pl, Bakersfield, CA 93311-3153 | 2017-02-27 |
| 1255877635 | Kaiser Permanente | Clinic/Center | 1451 24th Street, Apt 146, Denver, CO 80205 | 2017-01-10 |
| 1073062832 | Kaiser Permanente | General Acute Care Hospital | 4932 Santiago Drive, La Palma, CA 90623 | 2016-09-22 |
| 1043767445 | Kaiser Permanente | Health Maintenance Organization | 5381 W Baseline Rd, Hillsboro, OR 97123-6447 | 2016-09-02 |
| 1154782936 | Kaiser Permanente | Clinic/Center | 2238 Geary Blvd Rm 5c063, San Francisco, CA 94115-3416 | 2016-03-08 |
| 1427417666 | Kaiser Permanente | General Acute Care Hospital | 1041 Elkgrove Ave, Apartment #4, Venice, CA 90291-3191 | 2016-02-16 |
| 1699148593 | Kaiser Permanente | Health Maintenance Organization | 25965 S. Normandie Aveune, Harbor City, CA 90710 | 2015-11-02 |
| 1275905101 | Kaiser Permanente | Health Maintenance Organization | 1800 Harrison St Fl 13th, Unit 1, Oakland, CA 94612-3471 | 2015-10-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KAISER PERMANENTE | 1800 Harrison St Fl 16, Oakland, CA 94612-3466 |
| Virginia Business Entities | KAISER PERMANENTE INSURANCE COMPANY | 300 Lakeside Dr, Oakland, California 94612-3534 |
| Colorado Business Entities | KAISER PERMANENTE INSURANCE COMPANY | 300 Lakeside Drive, Oakland, CA 94612 |
| Street Address |
2875 NW STUCKI AVE |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97124-5806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598711236 | Mai Pham | Physical Therapist | 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 | 2006-05-25 |
| 1619452109 | Leah S Thomas | Physical Therapist | 2875 Nw Stucki Ave, Hillsboro, OR 97124 | 2018-10-01 |
| 1104320266 | Reese Eleanor Lovegren | Case Manager/Care Coordinator | 2875 Nw Stucki Ave, Hillsboro, OR 97124 | 2018-03-22 |
| 1508382391 | Linda Miksovska | Student in an Organized Health Care Education/Training Program | 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 | 2017-08-14 |
| 1003351297 | Prudencia Flores Sabado-babal | Pharmacist | 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 | 2016-12-27 |
| 1912440686 | Sarah Glasser | Dietitian, Registered | 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 | 2016-11-29 |
| 1780136978 | Kaiser Foundation Health Plan of The Northwest | General Practice | 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 | 2016-11-04 |
| 1063961159 | Jessica Eggers | Occupational Therapist | 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 | 2016-09-29 |
| 1689122616 | Robin Mcdole | Pharmacist | 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 | 2016-09-20 |
| 1831647189 | June Bliss | Pharmacist | 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 | 2016-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705322 | Pamela Anne Martin | Registered Nurse | 2875 Nw Stucki Pl, Hillsboro, OR 97124 | 2019-11-27 |
| 1912548892 | Donnia Mae Schwarz | Behavior Technician | 5121 Ne Elam Young Pkwy, Hillsboro, OR 97124 | 2019-10-02 |
| 1609305036 | Catherine Lydon | Registered Nurse | 18650 Nw Cornell Road Suite 220, Hillsboro, OR 97124 | 2017-06-08 |
| 1376092163 | Michael Han | Pharmacist | 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 | 2016-09-22 |
| 1760868459 | Voices Set Free | Community/Behavioral Health | 254 North 1st Ave., Hillsboro, OR 97124 | 2015-08-04 |
| 1871980151 | Kevin Kar Fai Cheng | Dentist | 7206 Ne Cornell Rd, Hillsboro, OR 97124 | 2015-04-23 |
| 1336530047 | Maegan Lee Mcglone | Behavioral Analyst | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124 | 2015-02-17 |
| 1588095772 | Hillsboro Modern Dentistry, PC | Dentist | 2790 Nw 188th Avenue, Suite A, Hillsboro, OR 97124 | 2013-12-12 |
| 1275977043 | Dana Hazell | Massage Therapist | 5035 Ne Elam Young Parkway, Suite 500, Hillsboro, OR 97124 | 2013-04-24 |
| 1679816771 | Candice May Doyle | Massage Therapist | 5215 Ne Elam Young Park Way, Suite A, Hillsboro, OR 97124 | 2013-03-27 |
| Find all providers in zip 97124 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104484336 | Laura Rogers LLC | Clinic/Center | 2253 Ne Cornell Rd, Hillsboro, OR 97124-5947 | 2019-06-03 |
| 1003470675 | Symmetry Chiropractic LLC | Clinic/Center | 905 Se Oak St, Hillsboro, OR 97123-4213 | 2019-04-29 |
| 1356714927 | Phoenix Integrative Healthcare, LLC | Clinic/Center | 5300 W Baseline Rd, Hillsboro, OR 97123-6401 | 2015-11-04 |
| 1518214188 | Wilcox Chiropractic Clinic | Clinic/Center | 527 Se Baseline St Ste D, Hillsboro, OR 97123-4149 | 2012-08-13 |
| 1801109988 | Symtrio Chiropractic Clinic, Inc. | Clinic/Center | 6125 Ne Cornell Rd Ste 300, Hillsboro, OR 97124-5417 | 2010-07-19 |
| 1447413661 | Better Days Inc | Clinic/Center | 520 Maple St, Hillsboro, WI 54634-6215 | 2008-07-08 |
| 1972627198 | Westside Medical Clinic | Clinic/Center | 21255 Nw Jacobson Road, Suite 500, Hillsboro, OR 97124-9317 | 2007-03-16 |
| 1245224799 | Jim Riggins | Clinic/Center | 101 Jane Ln, Hillsboro, TX 76645-2673 | 2005-09-09 |
| 1942718622 | Kaiser Foundation Health Plan of The Northwest | Clinic/Center | 19075 Nw Tanasbourne Dr, Hillsboro, OR 97124-5860 | 2018-01-17 |
| 1326495391 | Oregon Neurodiagnostics, LLC | Clinic/Center | 1915 Ne Stucki Ave Ste 400, Hillsboro, OR 97006-6938 | 2016-05-19 |
| Find all providers in HILLSBORO | ||||
Please comment or provide details below to improve the information on KAISER PERMANENTE.
| 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.