KAISER PERMANENTE (NPI# 1629272026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629272026 |
| Entity Type | Organization |
| Organization Name | KAISER PERMANENTE |
| Practice Address |
5105 W Goldleaf Cir Los Angeles CA 90056-1269 |
| Mailing Address |
10876 Marietta Ave Culver City CA 90232-3714 |
| Practice Telephone | 3232983100 |
| Practice Fax Number | 3232983119 |
| Mailing Telephone | 3108367195 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WALTER JOSEPH DELORRELL JR. (LICENSED PSYCHOTHERAPIST) |
| Authorized Official Telephone | 3232983100 |
| Authorized Official Credential | MFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | MFC 29835 | CA | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588198402 | Kaiser Permanente | Medicare Defined Swing Bed Unit | 9945 Valgrande Way, Elk Grove, CA 95757-3004 | 2017-04-18 |
| 1205377611 | Kaiser Permanente | Clinic/Center | 965 N Humboldt St, Apt 201, Denver, CO 80218-3563 | 2017-03-17 |
| 1710427539 | Kaiser Permanente | Pharmacist | 10601 Viscaino Pl, Bakersfield, CA 93311-3153 | 2017-02-27 |
| 1255877635 | Kaiser Permanente | Clinic/Center | 1451 24th Street, Apt 146, Denver, CO 80205 | 2017-01-10 |
| 1073062832 | Kaiser Permanente | General Acute Care Hospital | 4932 Santiago Drive, La Palma, CA 90623 | 2016-09-22 |
| 1043767445 | Kaiser Permanente | Health Maintenance Organization | 5381 W Baseline Rd, Hillsboro, OR 97123-6447 | 2016-09-02 |
| 1154782936 | Kaiser Permanente | Clinic/Center | 2238 Geary Blvd Rm 5c063, San Francisco, CA 94115-3416 | 2016-03-08 |
| 1427417666 | Kaiser Permanente | General Acute Care Hospital | 1041 Elkgrove Ave, Apartment #4, Venice, CA 90291-3191 | 2016-02-16 |
| 1699148593 | Kaiser Permanente | Health Maintenance Organization | 25965 S. Normandie Aveune, Harbor City, CA 90710 | 2015-11-02 |
| 1275905101 | Kaiser Permanente | Health Maintenance Organization | 1800 Harrison St Fl 13th, Unit 1, Oakland, CA 94612-3471 | 2015-10-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KAISER PERMANENTE | 1800 Harrison St Fl 16, Oakland, CA 94612-3466 |
| Virginia Business Entities | KAISER PERMANENTE INSURANCE COMPANY | 300 Lakeside Dr, Oakland, California 94612-3534 |
| Colorado Business Entities | KAISER PERMANENTE INSURANCE COMPANY | 300 Lakeside Drive, Oakland, CA 94612 |
| Street Address |
5105 W GOLDLEAF CIR |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90056-1269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467489187 | Karen Lee Kessler | Social Worker | 5105 W Goldleaf Cir, Los Angeles, CA 90056-1269 | 2006-06-27 |
| 1275067563 | Judith Fager | Registered Nurse | 5105 W Goldleaf Cir, Los Angeles, CA 90056-1269 | 2017-04-13 |
| 1699208330 | Lori Chang | Dietitian, Registered | 5105 W Goldleaf Cir, Los Angeles, CA 90056-1269 | 2017-04-10 |
| 1952834764 | Renaldo Wilson | Nutritionist | 5105 W Goldleaf Cir, Los Angeles, CA 90056-1269 | 2017-04-07 |
| 1912364290 | Carolyn Matteson | Psychologist | 5105 W Goldleaf Cir, Los Angeles, CA 90056-1269 | 2016-01-18 |
| 1578929519 | Lyndee Taketa | Psychologist | 5105 W Goldleaf Cir, Los Angeles, CA 90056-1269 | 2016-01-06 |
| 1821462722 | Daniela Covel Zanich | Social Worker | 5105 W Goldleaf Cir, Los Angeles, CA 90056 | 2015-11-16 |
| 1366733636 | Bradford Wolfram | Psychiatry & Neurology | 5105 W Goldleaf Cir, Los Angeles, CA 90056-1269 | 2011-04-21 |
| 1558651448 | Lily Ngo Tran | Psychiatry & Neurology | 5105 W Goldleaf Cir, Los Angeles, CA 90056-1269 | 2011-04-12 |
| 1720222847 | Rose Nikravesh | Psychiatry & Neurology | 5105 W Goldleaf Cir, Los Angeles, CA 90056-1269 | 2009-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255588026 | Miriam Gutierrez | Psychologist | 5110 W. Goldleaf Circle, Los Angeles, CA 90056 | 2008-08-25 |
| 1699800136 | Burl Roddy Moore | Social Worker | 5317 Corning Ave., Los Angeles, CA 90056 | 2007-02-23 |
| 1821204058 | Thc - Orange County, LLC | General Practice | 5525 W Slauson Ave, Los Angeles, CA 90056 | 2007-05-15 |
| 1447335146 | Thc - Orange County, LLC | Long Term Care Hospital | 5525 W Slauson Ave, Los Angeles, CA 90056 | 2006-10-25 |
| 1033390463 | Phillip Gordon Mckinley | Emergency Medicine | 5219 Reynier Ave, Los Angeles, CA 90056-1018 | 2007-11-14 |
| 1508852518 | William Robert Reeve | Pharmacist | 5231 Senford Ave, Los Angeles, CA 90056-1024 | 2005-09-25 |
| 1417083791 | James L Meltzer | Internal Medicine | 5525 West Flauson Ave Kindred Hospital, Los Angeles, CA 90056-1047 | 2007-02-23 |
| 1952363012 | Glenview Pathology Medical Group | Pathology | 5525 W Slauson Ave, Los Angeles, CA 90056-1047 | 2006-04-04 |
| 1417450461 | Natalie Meyer | Pharmacist | 5525 W Slauson Ave, Los Angeles, CA 90056-1047 | 2018-03-16 |
| 1154839686 | Scott Douglas Stallard | Physical Therapist | 5525 W Slauson Ave, Los Angeles, CA 90056-1047 | 2018-01-18 |
| Find all providers in zip 90056 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518440668 | Hana Holistic Wellness - Acupuncture & Herbs | Health Maintenance Organization | 680 Wilshire Pl Ste 316, Los Angeles, CA 90005-3950 | 2018-09-13 |
| 1639619166 | Truvanta | Health Maintenance Organization | 1801 Century Park E Fl 24, Los Angeles, CA 90067-2302 | 2017-03-02 |
| 1427508480 | Chiropractic Centers | Health Maintenance Organization | 3821 E 1st St, Los Angeles, CA 90063-3601 | 2016-10-13 |
| 1386012391 | Cardinal Care Hospice Inc | Health Maintenance Organization | 1110 N Western Ave Ste 204, Los Angeles, CA 90029-1087 | 2015-09-08 |
| 1578961892 | L.a. Care | Health Maintenance Organization | 1055 W 7th St Fl 10, Los Angeles, CA 90017-2750 | 2014-12-18 |
| 1336548189 | Amanecer Community Counseling Service, A Non-profit Corporation | Health Maintenance Organization | 1200 Wilshire Blvd 200, 210, Suite 300, Los Angeles, CA 90017-1934 | 2014-08-18 |
| 1699196378 | Altamed Health Services | Health Maintenance Organization | 2040 Camfield Ave., Los Angeles, CA 90040 | 2013-12-23 |
| 1093148652 | Mary Lou Rane Phd | Health Maintenance Organization | 10332 Eastborne Ave, Los Angeles, CA 90024-5350 | 2013-08-17 |
| 1760721708 | Dinooshmee Daewar | Health Maintenance Organization | 2008 N Las Palmas Ave, Los Angeles, CA 90068-3243 | 2013-02-12 |
| 1942563804 | Healthcare Medical Management Services, Inc. | Health Maintenance Organization | 1511 N Mariposa Ave Apt 6, Los Angeles, CA 90027-6227 | 2012-06-15 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90056 |
Please comment or provide details below to improve the information on KAISER PERMANENTE.
| 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.