KAISER FOUNDATION HEALTH PLAN INC


Address: 2295 S Vineyard Ave, Bldg A Bsmt Rm 03r16, Ontario, CA 91761-7922
Phone: 9097242071

KAISER FOUNDATION HEALTH PLAN INC (NPI# 1457720047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457720047
Entity Type Organization
Organization Name KAISER FOUNDATION HEALTH PLAN INC
Other Organization Name KAISER PERMANENTE PHARMACY #168F
Practice Address 2295 S Vineyard Ave
Bldg A Bsmt Rm 03r16
Ontario
CA 91761-7922
Practice Telephone 9097242071
Enumeration Date 2015-09-24
Last Update Date 2020-04-02
Authorized Official Name ALAN KIYOHARA (VP PHARMACY OPERATIONS & SVCS, SCAL)
Authorized Official Telephone 5626583510
Is Organization Subpart Y
Parent Organization Name KAISER FOUNDATION HEALTH PLAN INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy PHY53640 CA Suppliers
Y 3336C0004X Pharmacy
Specialization: Compounding Pharmacy
PHY53640 CA Suppliers

Other Provider/Organization Names

Other Name Type Code
Kaiser Permanente Pharmacy #168F Other Name - Individual/Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities KAISER FOUNDATION HEALTH PLAN INC. 1 Kaiser Plz, Oakland, California 94612-3610

Office Location

Street Address 2295 S VINEYARD AVE
BLDG A BSMT RM 03R16
City ONTARIO
State CA
Zip Code 91761-7922

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558359075 Barry S Bricca Audiologist 2295 S Vineyard Ave, Ontario, CA 91761 2005-10-10
1215569488 Steven Christopher Nassar Pharmacist 2295 S Vineyard Ave, Ontario, CA 91761-7925 2020-02-06
1144865981 Brian Huang Physical Therapist 2295 S Vineyard Ave, Ontario, CA 91761-7925 2019-11-15
1740837798 Martin R. Dole Registered Nurse 2295 S Vineyard Ave, Ontario, CA 91761-7925 2019-08-23
1952869117 Amirali Sepehrdad Pharmacist 2295 S Vineyard Ave, Ontario, CA 91761-7925 2019-03-06
1326513698 Kelsey Lauren Pundamiera Speech-Language Pathologist 2295 S Vineyard Ave, Ontario, CA 91761-7925 2018-10-12
1699259739 Teresa Uytingco Mendez Respiratory Therapist, Certified 2295 S Vineyard Ave, Ontario, CA 91761-7925 2018-09-24
1871073411 Jisha Pangottil Nurse Practitioner 2295 S Vineyard Ave, Ontario, CA 91761-7925 2018-08-14
1265973762 Claire Fitz Pharmacist 2295 S Vineyard Ave, Ontario, CA 91761-7925 2017-03-16
1811438500 Pauline Poon Pharmacist 2295 S Vineyard Ave, Ontario, CA 91761-7925 2017-03-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902418163 Blue Oak Counseling Services, Inc. Counselor 3200 Guasti Rd #100, Ontario, CA 91761 2020-08-19
1578115986 Hadel Awad Behavior Technician 1801 South Excise Ave, 116, Ontario, CA 91761 2019-07-15
1265902845 Stephanie Escalante Behavior Technician 1801 S. Excise Ave. #116, Ontario, CA 91761 2018-11-27
1801395595 Optimum Bio Lab Inc Clinical Medical Laboratory 1910 S Archibald Ave #d, Ontario, CA 91761 2018-02-07
1871010033 Evelyn Esther Martinez Case Manager/Care Coordinator 1556 S. Sultana Ave., Ontario, CA 91761 2017-08-28
1750812525 Building Bridges Christian Counseling Marriage & Family Therapist 3200 Guasti Road, Suite 100, Ontario, CA 91761 2017-03-23
1659829513 Gregory J Musselman Physician Assistant 3550 E Philadelphia St Ste 150, Ontario, CA 91761 2016-09-20
1700332327 Ramon Cardenas Registered Nurse 721 E. Banyan St., Ontario, CA 91761 2016-09-01
1023565660 Breanna Gonzalez Occupational Therapist 3449 S. Wrangler Pl., Ontario, CA 91761 2016-09-01
1326491507 Sasha Khawaja Specialist/Technologist 1500 So. Haven Ave, Ste 190, Ontario, CA 91761 2016-07-22
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Taxonomy Information

Taxonomy Code 3336C0004X
Grouping Suppliers
Classification Pharmacy
Specialization Compounding Pharmacy

Taxonomy Definition

A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780022814 Bioscrip Infusion Services, Inc Pharmacy 840 S Rochester, Unit A, Ontario, CA 91761-8172 2013-06-11
1053477323 Kaiser Foundation Health Plan Inc Pharmacy 2295 S Vineyard Ave, Basement, Ontario, CA 91761-7925 2006-12-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609496215 Kaiser Foundation Hospitals Pharmacy 274 International Cir Fl 1 Rm 104, San Jose, CA 95119 2020-04-23
1093278236 Gold Country Compounding LLC Pharmacy 11990 Heritage Oak Pl Ste 2c, Auburn, CA 95603-2405 2019-04-12
1669935177 Creative Care-rx, Inc. Pharmacy 3303 Harbor Blvd Ste C4, Costa Mesa, CA 92626-1518 2019-04-11
1396204095 Nordahl Pharmacy Corp Pharmacy 740 Nordahl Rd Ste 120, San Marcos, CA 92069-3545 2019-03-13
1104329820 Oz Med, Inc. Pharmacy 44150 Town Center Way, Ste B4, Palm Desert, CA 92260 2018-03-09
1639688732 Cure Stat Rx Home Infusion and Specialty Pharmacy Inc Pharmacy 6725 Mesa Ridge Rd Ste 202&230, San Diego, CA 92121-2923 2017-09-21
1770010068 Onesource Compounding Pharmacy Pharmacy 104 Whispering Pines Dr Ste 105, Scotts Valley, CA 95066 2017-05-17
1326498619 Preferred Pharmacy Inc Pharmacy 3303 Harbor Blvd Ste H7, Costa Mesa, CA 92626-1523 2016-06-16
1720449267 Hot Springs Pharmacy Inc Pharmacy 13313 Palm Dr Ste A, Desert Hot Springs, CA 92240-5980 2016-03-11
1447619432 Qps Pharmacy Inc Pharmacy 18502 Beach Blvd, Suite 116, Huntington Beach, CA 92648-2019 2016-02-18
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Competitor

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City ONTARIO
Zip Code 91761

Improve Information

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Dataset Information

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.

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