KAISER FOUNDATION HEALTH PLAN INC (NPI# 1215085196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215085196 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN INC |
| Other Organization Name | KAISER PERMANENTE PHARMACY |
| Practice Address |
12100 Euclid St Garden Grove CA 92840-3304 |
| Practice Telephone | 7147413666 |
| Practice Fax Number | 7147413633 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHRIS CHANG (MANAGER) |
| Authorized Official Telephone | 7147413666 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | PHY41375 | CA | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0532095 | 01 | |
| CA | PHA413750 | 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 |
12100 EUCLID ST |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92840-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235120734 | Nancy Lee-hata | Family Medicine | 12100 Euclid St, Garden Grove, CA 92840-3304 | 2005-11-02 |
| 1275170458 | Thuy Trang Thi Khong | Pharmacist | 12100 Euclid St, Garden Grove, CA 92840-3304 | 2019-12-05 |
| 1750818399 | Anam Meraj | Pediatrics | 12100 Euclid St, Garden Grove, CA 92840-3304 | 2017-05-14 |
| 1508390766 | Kathleen Tzan | Pediatrics | 12100 Euclid St, Garden Grove, CA 92840-3304 | 2017-04-14 |
| 1124567888 | Michelle Suh | Pharmacist | 12100 Euclid St, Garden Grove, CA 92840-3304 | 2017-02-14 |
| 1649719444 | Kathleen Han Tran | Pharmacist | 12100 Euclid St, Garden Grove, CA 92840-3304 | 2017-02-14 |
| 1154860070 | Christine Atalla | Pharmacist | 12100 Euclid St, Garden Grove, CA 92840-3304 | 2017-02-13 |
| 1992244750 | Josefina Guzman-inouye | Pharmacist | 12100 Euclid St, Garden Grove, CA 92840-3304 | 2017-02-13 |
| 1467991216 | Phuong Nguyen | Pharmacist | 12100 Euclid St, Garden Grove, CA 92840-3304 | 2017-02-13 |
| 1679011571 | Tuan Ngoc Cao | Pharmacist | 12100 Euclid St, Garden Grove, CA 92840-3304 | 2017-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283808 | Kimberly Gaeta | Behavioral Analyst | 123935 Lewis Street, Ste 202, Garden Grove, CA 92840 | 2020-04-16 |
| 1396397170 | Rosa Cortez | Behavior Technician | 12443 Lewis Street, #201, Garden Grove, CA 92840 | 2019-07-12 |
| 1376005934 | Sekboppa Sor | Nurse Practitioner | An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, CA 92840 | 2019-04-03 |
| 1346730116 | Vinh Le Tran | Pharmacist | 12666 Brookhurst St. Suite 110, Garden Grove, CA 92840 | 2018-05-16 |
| 1841715232 | Scott R. Blair | Physician Assistant | 12828 Harbor Blvd Ste 200, Garden Grove, CA 92840 | 2017-08-07 |
| 1881049492 | Carmen Keally | Dietitian, Registered | 12602 9th St, Garden Grove, CA 92840 | 2016-05-02 |
| 1548688732 | House Call Medical Associates, Inc. | Internal Medicine | 12865 Main St Ste 105, Garden Grove, CA 92840 | 2014-04-03 |
| 1851733059 | Carly Ann Wade | Marriage & Family Therapist | 12755 Brookhurst St. Ste 116, Garden Grove, CA 92840 | 2013-07-29 |
| 1003159864 | Priyal Shah Ohri | Dentist | 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840 | 2013-03-30 |
| 1770853244 | Joseph Pham | Pharmacist | 12001 Euclid St., Garden Grove, CA 92840 | 2011-12-30 |
| Find all providers in zip 92840 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710511985 | Care Fusion Rx, LLC | Pharmacy | 7052 Orangewood Ave # A8, Garden Grove, CA 92841-1419 | 2020-02-26 |
| 1447610191 | Modern Drug Inc | Pharmacy | 10672 Chapman Ave Ste 5, Garden Grove, CA 92840-3103 | 2016-02-23 |
| 1689082133 | Le & Nguyen Pacific Pharmacy | Pharmacy | 10515 Mcfadden Ave Ste 104, Garden Grove, CA 92843-5301 | 2014-07-29 |
| 1588944789 | Advanced Healthcare Pharmacy Inc | Pharmacy | 13129 Brookhurst St, Garden Grove, CA 92843-1079 | 2011-08-19 |
| 1215020649 | Kaju Pharmacy Inc | Pharmacy | 8887 Garden Grove Blvd, Garden Grove, CA 92844-1249 | 2006-09-30 |
| 1316053085 | Tran Pharmacy Inc | Pharmacy | 14291 Euclid St, Ste D104, Garden Grove, CA 92843-4980 | 2006-08-22 |
| 1720046709 | Senior Care Pharmacy Services Inc | Pharmacy | 12600 Hoover St, Garden Grove, CA 92841-4100 | 2006-05-01 |
| 1467434845 | Lien Thi Khong | Pharmacy | 10402 Westminster Ave, Ste C, Garden Grove, CA 92843-4861 | 2005-11-18 |
| 1902895766 | Pns Pharma Inc | Pharmacy | 14384 Brookhurst St, Garden Grove, CA 92843-4608 | 2005-10-14 |
| 1326032517 | Gisele Nguyen Inc | Pharmacy | 10212 Westminster Ave, Ste 109, Garden Grove, CA 92843 | 2005-09-02 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92840 |
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.