KAISER FOUNDATION HOSPITALS (NPI# 1205984002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205984002 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HOSPITALS |
| Other Organization Name | KAISER FDN HSP INP DISCHARGE PHY 39A 394 |
| Practice Address |
99 Montecillo Rd San Rafael CA 94903-3308 |
| Practice Telephone | 4154442047 |
| Practice Fax Number | 4154442077 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2012-04-05 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
HSP39139 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHB187490 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0561919 | 01 |
| Other Name | Type Code |
|---|---|
| KAISER FDN HSP INP DISCHARGE PHY 39A 394 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609496215 | Kaiser Foundation Hospitals | Pharmacy | 274 International Cir Fl 1 Rm 104, San Jose, CA 95119 | 2020-04-23 |
| 1740822766 | Kaiser Foundation Hospitals | Pharmacy | 18600 S Figueroa St Fl-1, Rm S1085a, Gardena, CA 90248-4505 | 2019-10-10 |
| 1770045395 | Kaiser Foundation Hospitals | Pharmacy | 3100 Dublin Blvd Fl 2, Rm 2353, Dublin, CA 94568-4363 | 2019-04-02 |
| 1619432598 | Kaiser Foundation Hospitals | Clinic/Center | 27200 Iris Avenue Mob 2, Moreno Valley, CA 92555-4803 | 2019-02-05 |
| 1134612468 | Kaiser Foundation Hospitals | Clinic/Center | 1721 Technology Dr Ste 245, San Jose, CA 95110-1305 | 2018-06-12 |
| 1265888630 | Kaiser Foundation Hospitals | Pharmacy | 9521 Dalen St Rm R, Downey, CA 90242-4847 | 2016-05-04 |
| 1891048807 | Kaiser Foundation Hospitals | General Acute Care Hospital | 2875 Nw Stucki Ave., Hillsboro, OR 97124-5806 | 2012-10-16 |
| 1689940991 | Kaiser Foundation Hospitals | Pharmacy | 2295 S Vineyard Ave Bldg H, Ontario, CA 91761-7925 | 2012-03-30 |
| 1497061089 | Kaiser Foundation Hospitals | Pharmacy | 9400 Rosecrans Ave Fl 2, Bellflower, CA 90706-2246 | 2010-08-20 |
| 1962724856 | Kaiser Foundation Hospitals | Hospice Care, Community Based | 17542 East 17th Street, Suite 300, Tustin, CA 92780-1960 | 2010-02-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | KAISER FOUNDATION HOSPITALS | One Kaiser Plaza, Oakland, CA 94612 |
| New York State Corporations | KAISER FOUNDATION HOSPITALS | 80 State Street, Albany, New York 12207 |
| Oregon Corporations, Companies and Business Names | KAISER FOUNDATION HOSPITALS | One Kaiser Plaza, Oakland, CA 94612 |
| Washington State Corporations | KAISER FOUNDATION HOSPITALS | One Kaiser Plaza, Oakland, CA 94612 |
| North Carolina Corporations | Kaiser Foundation Hospitals | 2626 Glenwood Avenue, Suite 550, Raleigh, NC 27608 |
| Massachusetts Corporations | KAISER FOUNDATION HOSPITALS | One Kaiser Plaza, Oakland, CA 94612 |
| Virginia Business Entities | KAISER FOUNDATION HOSPITALS | 1 Kaiser Plz, Oakland, California 94612-3610 |
| Connecticut Business Registrations | KAISER FOUNDATION HOSPITALS, A CALIFORNIA CORPORATION | One Kaiser Plaza, Oakland, CA 94612 |
| Street Address |
99 MONTECILLO RD |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903-3308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174528889 | Jeffry D Cardneau | Surgery | 99 Montecillo Rd, Mob 1, 2nd Floor, Department of Surgery, San Rafael, CA 94903-3308 | 2005-06-17 |
| 1225645468 | Lauren Freudman | Occupational Therapist | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2020-09-30 |
| 1285254037 | Omar Ahmed | Pharmacist | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2020-04-22 |
| 1447887229 | Meka Angela Parks | Registered Nurse | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2020-03-24 |
| 1710519202 | Mahsa Khorramdin | Pharmacist | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2020-02-12 |
| 1568001071 | Jessica Tan | Pharmacist | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2019-12-31 |
| 1720626211 | Ava May Mahan | Pharmacist | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2019-12-15 |
| 1437797271 | Alicia Pontecorvo | Dietitian, Registered | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2019-12-11 |
| 1437795499 | Shirley Liu | Pharmacist | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2019-11-25 |
| 1831740422 | Natalie Marie Vano | Nurse Practitioner | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2019-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| Find all providers in zip 94903 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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 |
|---|---|---|---|---|
| 1457906745 | Corrections and Rehabilitation | Pharmacy | 5th and Western Ave, Module M, Room #104, Norco, CA 92860 | 2019-08-05 |
| 1982169694 | Vikki Lam | Pharmacy | 757 Westwood Plz # B-504j, Los Angeles, CA 90095-8358 | 2019-02-06 |
| 1760827414 | Cedars-sinai Medical Center | Pharmacy | 127 S San Vicente Blvd Ste 2403, Los Angeles, CA 90048-3311 | 2013-05-08 |
| 1508105354 | Sutter Central Valley Hospitals | Pharmacy | 1420 N. Tracy Blvd., Tracy, CA 95376 | 2013-02-13 |
| 1649576364 | Wade J Dahlberg Sr | Pharmacy | 2697 Lavery Ct Ste 7, Newbury Park, CA 91320-1587 | 2011-01-27 |
| 1871898304 | Corrections and Rehabilitation | Pharmacy | 5100 O'byrnes Ferry Road, Attn: Pharmacy, Jamestown, CA 95327 | 2011-01-13 |
| 1437469202 | Institutional Pharmacy Solutions LLC | Pharmacy | 6520 N Irwindale Ave Ste 228, Irwindale, CA 91702-2867 | 2010-10-14 |
| 1851593560 | Belville Enterprises Inc | Pharmacy | 10140 Barnes Canyon Rd, San Diego, CA 92121-2724 | 2007-06-04 |
| 1306057229 | Detention's Facility Pharmacy | Pharmacy | 8525 Gibbs Dr Ste 101, San Diego, CA 92123-1758 | 2007-05-24 |
| 1407992019 | San Joaquin County | Pharmacy | 7000 Michael Canlis Way, French Camp, CA 95231-9781 | 2007-01-30 |
| Find all providers with the same taxonomy | ||||
| City | SAN RAFAEL |
| Zip Code | 94903 |
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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.