KAISER FOUNDATION HEALTH PLAN INC (NPI# 1154478477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154478477 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN INC |
| Other Organization Name | KAISER PERMANENTE PHARMACY 364 |
| Practice Address |
23781 Maquina Mission Viejo CA 92691-2716 |
| Practice Telephone | 9494554212 |
| Practice Fax Number | 9494554367 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2012-02-24 |
| 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 |
PHY35345 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA353450 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0519693 | 01 |
| Other Name | Type Code |
|---|---|
| KAISER PERMANENTE PHARMACY 364 | 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 |
23781 MAQUINA |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92691-2716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164464657 | Jennifer Brooke Grumet | Pediatrics | 23781 Maquina, Mission Viejo, CA 92691-2716 | 2006-06-11 |
| 1093283749 | Pearl Park | Pharmacist | 23781 Maquina, Mission Viejo, CA 92691-2716 | 2018-11-09 |
| 1609248111 | Leilan Pince | Pharmacist | 23781 Maquina, Mission Viejo, CA 92691-2716 | 2015-10-23 |
| 1174995740 | Clare Adams | Pharmacist | 23781 Maquina, Mission Viejo, CA 92691-2716 | 2015-10-22 |
| 1699147264 | Gerry Sueda | Pharmacist | 23781 Maquina, Mission Viejo, CA 92691-2716 | 2015-10-22 |
| 1114399615 | Dao Quan | Pharmacist | 23781 Maquina, Mission Viejo, CA 92691-2716 | 2015-10-22 |
| 1730526591 | Nika Cyrus | Dermatology | 23781 Maquina, 2nd Floor Dermatology Department, Mission Viejo, CA 92691 | 2013-06-03 |
| 1063763183 | Amy Tran Buenrostro | Pharmacist | 23781 Maquina, Mission Viejo, CA 92691-2716 | 2012-09-28 |
| 1447563184 | Heather Marie Kranitz-lehman | Family Medicine | 23781 Maquina, Mission Viejo, CA 92691-2716 | 2010-07-22 |
| 1538338942 | Thuy Truong Le | Family Medicine | 23781 Maquina, Mission Viejo, CA 92691-2716 | 2008-02-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748247 | Sonja Wood | Registered Nurse | 92691 Avenida Deseo, Mission Viejo, CA 92691 | 2020-04-09 |
| 1912488487 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 27551 Puerta Real, Mission Viejo, CA 92691 | 2018-08-23 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1215426762 | Gail G Warner | Marriage & Family Therapist | 26050 Acero, Suite 301, Mission Viejo, CA 92691 | 2018-05-09 |
| 1508354176 | Tania Choudhary | Student in an Organized Health Care Education/Training Program | 23595 Rangoon St, Mission Viejo, CA 92691 | 2018-04-28 |
| 1710486519 | Aubriana Denise Gray | Counselor | 25802 Pacifica Ave, Mission Viejo, CA 92691 | 2018-02-07 |
| 1487162707 | Alberto Israel Galicia | Case Manager/Care Coordinator | 27261 Las Ramblas, Suite 220, Mission Viejo, CA 92691 | 2018-01-22 |
| 1629595244 | Elisabeth A Lischer | Counselor | 26137 La Paz Road, Suite 230, Mission Viejo, CA 92691 | 2017-08-24 |
| 1639694227 | Dr. Horiyat, A Dental Corporation | Dentist | 27652 Crown Valley Parkway, Mission Viejo, CA 92691 | 2017-08-04 |
| 1255851689 | Jackelin Liseth Martinez | Counselor | 25402 Pacifica Avenue, Mission Viejo, CA 92691 | 2017-06-27 |
| Find all providers in zip 92691 | ||||
| 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 |
|---|---|---|---|---|
| 1689186678 | C3 Healthcarerx, LLC | Pharmacy | 28251 Marguerite Pkwy, Mission Viejo, CA 92692-3721 | 2017-10-30 |
| 1134678295 | Trinity Pharmaceutical, Inc | Pharmacy | 27725 Santa Margarita Pkwy 102, Mission Viejo, CA 92691 | 2016-09-29 |
| 1013101153 | Garfield Beach Cvs LLC | Pharmacy | 25601 Jeronimo Rd, Mission Viejo, CA 92691-2794 | 2007-08-31 |
| 1750390829 | Advantage Healthcare Services - Dme Inc | Pharmacy | 27800 Medical Center Rd Ste 99, Mission Viejo, CA 92691-6415 | 2006-08-06 |
| 1578509634 | Garfield Beach Cvs LLC | Pharmacy | 25272 Marguerite Pkwy, Mission Viejo, CA 92692-2901 | 2006-06-20 |
| 1063455830 | Longs Drug Stores California LLC | Pharmacy | 27750 Santa Margarita Pkwy, Mission Viejo, CA 92691-6653 | 2006-06-13 |
| 1770524654 | Garfield Beach Cvs LLC | Pharmacy | 26851 Trabuco Rd, Mission Viejo, CA 92691-3537 | 2006-06-09 |
| 1851906846 | Blessie Regala | Pharmacy | 24000 Alicia Pkwy Ste 9, Mission Viejo, CA 92691-3929 | 2020-09-15 |
| 1508875469 | Advantage Healthcare Services - Mission Inc | Pharmacy | 26800 Crown Valley Pkwy, Ste 185, Mission Viejo, CA 92691-6384 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689987 | Capsule San Diego LLC | Pharmacy | 1450 Columbia St Ste B, San Diego, CA 92101-3487 | 2020-11-04 |
| 1023618824 | Ingram's Pharmacy, LLC | Pharmacy | 1115 Union Ave Unit 147-1c, Bakersfield, CA 93307-1050 | 2020-10-29 |
| 1750981874 | Capsule San Francisco LLC | Pharmacy | 475 University Ave, Palo Alto, CA 94301-1814 | 2020-10-28 |
| 1447850623 | Sterling Hatteras LLC | Pharmacy | 916 E Cypress Ave Ste 300, Redding, CA 96002-1038 | 2020-10-28 |
| 1922608454 | Vanessa Ann Marie Rita Pitts | Pharmacy | 26365 Buccaneer Ln, Helendale, CA 92342-7739 | 2020-10-26 |
| 1205435971 | Rinaldi Pharmacy, Inc. | Pharmacy | 11237 Tampa Ave, Porter Ranch, CA 91326-1610 | 2020-10-22 |
| 1467051300 | San Dimas Wellness Pharmacy | Pharmacy | 830 W Arrow Hwy Ste 830b, San Dimas, CA 91773-2498 | 2020-10-21 |
| 1225636889 | Med-plus Pharmacy Inc | Pharmacy | 335 Lindbergh Ave, Livermore, CA 94551-9291 | 2020-10-15 |
| 1689271066 | Innova Pharmacy Iv | Pharmacy | 4815 Watt Ave Ste B101, North Highlands, CA 95660-5108 | 2020-10-08 |
| 1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
| City | MISSION VIEJO |
| Zip Code | 92691 |
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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.