KAISER FOUNDATION HEALTH PLAN INC (NPI# 1548762263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548762263 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN INC |
| Other Organization Name | KAISER PERMANENTE PHARMACY #701 |
| Practice Address |
2240 Mercury Way Fl 1 Mob 6 Santa Rosa CA 95407 |
| Mailing Address |
12254 Bellflower Blvd Fl 2 Downey CA 90242-2804 |
| Practice Telephone | 7075703499 |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2020-04-02 |
| 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 | PHY55988 | CA | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY55988 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NCPDP | 5665940 | 01 |
| Other Name | Type Code |
|---|---|
| Kaiser Permanente Pharmacy #701 | Other Name - Individual/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 |
2240 MERCURY WAY FL 1 MOB 6 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922413673 | Aurora Alejandra Gomez Selpides | Family Medicine | 2240 Mercury Way, Santa Rosa, CA 95407 | 2014-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100477 | Charrise Reece | Case Management | 935 S Davis, Santa Rosa, CA 95407 | 2020-10-07 |
| 1629687256 | Suzel Anne-marie Deer | Registered Nurse | 1017 Stony Point Rd, Santa Rosa, CA 95407 | 2020-07-29 |
| 1285152884 | Mercedes Zipperle | Specialist/Technologist | 638 Athena Pl, Santa Rosa, CA 95407 | 2017-09-03 |
| 1235664988 | Priceless Transport Care LLC | Non-emergency Medical Transport (VAN) | 661 Powderhorn Ave, Santa Rosa, CA 95407 | 2017-05-01 |
| 1780139634 | Robin Shank Sanderson | Nurse Practitioner | 751 Lombardi, Santa Rosa, CA 95407 | 2016-08-22 |
| 1205207321 | Flaman Craig Mccloud Jr. | Counselor | 440 Arrowood Dr., Santa Rosa, CA 95407 | 2015-10-15 |
| 1548679400 | Jill Bauer | Dental Hygienist | 2740 Ironstone Circle, Santa Rosa, CA 95407 | 2014-08-05 |
| 1508159955 | Luis Angel Gonzalez | Counselor | 1202 Apollo Way, Santa Rosa, CA 95407 | 2011-05-18 |
| 1326286295 | Kelly Alexis Rathmann | Social Worker | 3650 Standish Avenue, Santa Rosa, CA 95407 | 2009-01-29 |
| 1366632788 | Mv Transportation | Non-emergency Medical Transport (VAN) | 3250 Dutton Avenue, Santa Rosa, CA 95407 | 2007-08-01 |
| Find all providers in zip 95407 | ||||
| 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 | 95407 |
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.