KAISER PERMANENTE PHARMACY (NPI# 1114467883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114467883 |
| Entity Type | Organization |
| Organization Name | KAISER PERMANENTE PHARMACY |
| Practice Address |
1183 E Foothill Blvd First Floor Upland CA 91786-4079 |
| Practice Telephone | 9093677080 |
| Practice Fax Number | 9093677076 |
| Mailing Telephone | 9093677080 |
| Mailing Fax Number | 9093677076 |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |
| Authorized Official Name | DR. EUGENIA ELLIS (PHARMACY SUPERVISOR) |
| Authorized Official Telephone | 9093677080 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | 36910 | CA | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568537819 | Kaiser Permanente Pharmacy | Pharmacy | 2045 Franklin St, Denver, CO 80205-5437 | 2006-11-22 |
| Street Address |
1183 E FOOTHILL BLVD FIRST FLOOR |
| City | UPLAND |
| State | CA |
| Zip Code | 91786-4079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700866894 | Max Vinco Soliguen | Pediatrics | 1183 E Foothill Blvd, Suite 230, Upland, CA 91786 | 2006-01-17 |
| 1710426739 | Kaiser Permanente | Clinic/Center | 1183 E Foothill Blvd, Upland, CA 91786-4079 | 2017-02-23 |
| 1528456050 | Toni Marie Reyes | Nurse Practitioner | 1183 E Foothill Blvd, Ste 135, Upland, CA 91786-4079 | 2015-01-06 |
| 1922324086 | Centrelake Medial Group Inc | Radiology | 1183 E Foothill Blvd, Suite 235, Upland, CA 91786-4079 | 2010-04-14 |
| 1801039458 | Nadia Khan | Family Medicine | 1183 E Foothill Blvd, Upland, CA 91786-4079 | 2009-04-13 |
| 1528250412 | Smileneeds Dental | Dentist | 1183 E Foothill Blvd, Suite150, Upland, CA 91786-4079 | 2007-08-14 |
| 1407972490 | Rubina Aqeel | Internal Medicine | 1183 E Foothill Blvd, Suite 260, Upland, CA 91786-4049 | 2007-03-21 |
| 1912052978 | Jason S Lee Dds Inc | Dentist | 1183 E Foothill Blvd, Unit 240, Upland, CA 91786-4049 | 2007-01-23 |
| 1528112257 | Jason S Lee | Dentist | 1183 E Foothill Blvd, Unit 240, Upland, CA 91786-4049 | 2007-01-22 |
| 1942352703 | Fiona C Chan | Dentist | 1183 E Foothill Blvd, Unit 240, Upland, CA 91786-4049 | 2007-01-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
| 1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
| 1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
| 1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
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| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083989024 | Del Sol Psychologycal Center | Health Maintenance Organization | 397 N Central Ave, Upland, CA 91786-4217 | 2012-03-08 |
| 1376843367 | Upland New Health Center | Health Maintenance Organization | 555 E Foothill Blvd Ste 9, Upland, CA 91786-3994 | 2010-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677760 | Health and Heart | Health Maintenance Organization | 333 W Bastanchury Rd Ste 110, Fullerton, CA 92835-3433 | 2020-10-20 |
| 1144837139 | Essential California Ipa Inc. | Health Maintenance Organization | 1800 Studebaker Rd., 100, Cerritos, CA 90703 | 2020-09-24 |
| 1649881194 | Health Net Community Solutions Inc | Health Maintenance Organization | 21271 Burbank Blvd, Woodland Hills, CA 91367-6667 | 2020-08-10 |
| 1447868377 | Auxilium Health Network, Inc. | Health Maintenance Organization | 18000 Studebaker Dr, Cerritos, CA 90703 | 2020-07-16 |
| 1154939098 | Absolute Medical Partners, A Professional Medical Corporation | Health Maintenance Organization | 18000 Studebaker Rd., Ste 100, Cerritos, CA 90703 | 2020-07-16 |
| 1700494606 | Rapha Ipa, Inc. | Health Maintenance Organization | 1010 Crenshaw Blvd Ste 200, Torrance, CA 90501-2058 | 2020-07-16 |
| 1548883788 | Careplan Ipa, Inc | Health Maintenance Organization | 18000 Studebaker Road, Suite 100, Cerritos, CA 90703-7929 | 2020-05-22 |
| 1982227450 | Zeev Neumeier | Health Maintenance Organization | 1691 Ward St, Berkeley, CA 94703-1827 | 2020-05-19 |
| 1669009247 | Doctor's Managed Ipa, Inc | Health Maintenance Organization | 4959 Palo Verde St Ste 101b, Montclair, CA 91763-2331 | 2020-03-24 |
| 1710512298 | United Physicians Association Inc | Health Maintenance Organization | 14803 Badlona Dr, La Mirada, CA 90638-3834 | 2020-03-05 |
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| 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.