KAISER FOUNDATION HEALTH PLAN INC (NPI# 1447606819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447606819 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN INC |
| Other Organization Name | KAISER PERMANENTE PHARMACY #588 |
| Practice Address |
401 Bicentennial Way Hosp Bldg Fl-1 Santa Rosa CA 95403-2149 |
| Practice Telephone | 7073933678 |
| Mailing Telephone | 7073933678 |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2020-04-03 |
| Authorized Official Name | KATHRYN BROWN (VP PHARMACY OPERATIONS & SVCS, NCAL) |
| 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 |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2160053 | 01 | |
| CA | NCPDP | 5659911 | 01 |
| Other Name | Type Code |
|---|---|
| Kaiser Permanente Pharmacy #588 | 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 |
401 BICENTENNIAL WAY HOSP BLDG FL-1 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-2149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649276940 | Virginia E Hofmann | Psychiatry & Neurology | 401 Bicentennial Way, Department of Psychiatry, Santa Rosa, CA 95403-2149 | 2005-06-22 |
| 1376142646 | Denny Jeb Piolo Sta Ana | Respiratory Therapist, Registered | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-10-19 |
| 1417564915 | Nancy Patricia Prussiamerritt | Respiratory Therapist, Registered | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-09-28 |
| 1629682042 | Mio John Villagomez | Respiratory Therapist, Registered | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-09-02 |
| 1679181861 | Miriam Stone | Respiratory Therapist, Registered | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-07-14 |
| 1902414196 | Brenda L Yates | Respiratory Therapist, Registered | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-07-14 |
| 1215550801 | John Callander | Student in an Organized Health Care Education/Training Program | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-05-18 |
| 1124649074 | Gustavo Gabriel Romero | Student in an Organized Health Care Education/Training Program | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-05-01 |
| 1184244147 | Kimberly Hower | Student in an Organized Health Care Education/Training Program | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-04-20 |
| 1316574452 | Constantine Kulkoff | Student in an Organized Health Care Education/Training Program | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| 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 |
|---|---|---|---|---|
| 1245873124 | Marin Apothecaries Inc | Pharmacy | 3569a Round Barn Cir, Santa Rosa, CA 95403-1757 | 2019-10-23 |
| 1770999708 | Marin Apothecaries Inc | Pharmacy | 1300 N Dutton Ave Ste 100, Santa Rosa, CA 95401-7112 | 2014-07-10 |
| 1871638767 | Save Mart Supermarkets | Pharmacy | 915 Montgomery Village Ct, Santa Rosa, CA 95405 | 2007-02-20 |
| 1114037728 | Costco Wholesale Corporation | Pharmacy | 1900 Santa Rosa Ave, Santa Rosa, CA 95407-7621 | 2006-08-30 |
| 1619911062 | Longs Drug Stores California LLC | Pharmacy | 2771 4th St, Santa Rosa, CA 95405-4726 | 2006-06-16 |
| 1649212457 | Longs Drug Stores California LLC | Pharmacy | 2700 Yulupa Ave, Santa Rosa, CA 95405-8577 | 2006-06-13 |
| 1659313468 | Longs Drug Stores California LLC | Pharmacy | 463 Stony Point Rd, Santa Rosa, CA 95401-5900 | 2006-06-13 |
| 1093153850 | Guadalupe County | Pharmacy | 117 Camino De Vida, 200, Santa Rosa, NM 88435-2267 | 2013-06-13 |
| 1285782011 | Kaiser Foundation Health Plan Inc | Pharmacy | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2007-01-08 |
| 1497814594 | Jafa Pharmaceuticals, Inc. | Pharmacy | 95 Montgomery Dr, Santa Rosa, CA 95404 | 2006-12-06 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
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.