KAISER FOUNDATION HEALTH PLAN INC (NPI# 1699822924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699822924 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN INC |
| Other Organization Name | KAISER PERMANENTE PHARMACY #833 |
| Practice Address |
3800 Dale Rd Modesto CA 95356-8627 |
| Mailing Address |
1800 Harrison St Fl 13 Oakland CA 94612-3466 |
| Practice Telephone | 2095576161 |
| Practice Fax Number | 2095576059 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-10-19 |
| Authorized Official Name | KATHRYN RENOUARD BROWN (VP PHARMACY OPERATIONS AND SERVICES) |
| Authorized Official Telephone | 5106252363 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY46384 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 5663009 | 01 | |
| CA | PHA463840 | 05 |
| Other Name | Type Code |
|---|---|
| KAISER PERMANENTE PHARMACY #833 | 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 |
3800 DALE RD |
| City | MODESTO |
| State | CA |
| Zip Code | 95356-8627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003812751 | John Joseph Gallo | Emergency Medicine | 3800 Dale Rd, Modesto, CA 95356-8627 | 2005-06-27 |
| 1902338924 | Inderjit Birring | Pharmacist | 3800 Dale Rd, Modesto, CA 95356-8627 | 2017-03-29 |
| 1063944254 | Flora Kanon | Pharmacist | 3800 Dale Rd, Modesto, CA 95356-8627 | 2017-03-28 |
| 1366974545 | Anita Vohra | Pharmacist | 3800 Dale Rd, Outpatient Pharmacy, Modesto, CA 95356-8627 | 2017-03-28 |
| 1679985675 | Lorelie Banares Galicia | Family Medicine | 3800 Dale Rd, Modesto, CA 95356-8627 | 2014-05-24 |
| 1912290107 | Zev W Garbuz | Internal Medicine | 3800 Dale Rd, Modesto, CA 95356-8627 | 2011-05-19 |
| 1700195856 | Mya Tun | Family Medicine | 3800 Dale Rd, Modesto, CA 95356-8627 | 2010-10-06 |
| 1215166640 | Elizabeth E. Villarico | Family Medicine | 3800 Dale Rd, Modesto, CA 95356-8627 | 2009-07-07 |
| 1568613313 | Sharon D'souza | Family Medicine | 3800 Dale Rd, Modesto, CA 95356-8627 | 2008-10-09 |
| 1114005790 | Vipul S. Bhagat | Family Medicine | 3800 Dale Rd, Modesto, CA 95356-8627 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649809021 | Amelia E Delgadillo | Licensed Vocational Nurse | 501 Triangle Rd, Modesto, CA 95356 | 2020-04-07 |
| 1689220279 | Meagan Veneman | Physical Medicine & Rehabilitation | 125 Hogue Rd, Modesto, CA 95356 | 2019-08-10 |
| 1497131213 | Hermes Guardian Transport | Non-emergency Medical Transport (VAN) | 4221 Erin Way, Modesto, CA 95356 | 2015-08-04 |
| 1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
| 1922242866 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 500 Glass Ln Ste H, Modesto, CA 95356 | 2009-04-22 |
| 1659541647 | Ashley Allison Streeter | Dentist | 556 Lyell Dr, Modesto, CA 95356 | 2008-03-05 |
| 1265636013 | Margaret Kathleen Grisell | Orthopaedic Surgery | 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 | 2007-06-14 |
| 1841412111 | Bobby Gene Boswell | Specialist/Technologist | 3908 Vintage Cove, Modesto, CA 95356 | 2007-05-03 |
| 1598892861 | Merritt Radiological Medical Group Inc | Radiology | 526 Charity Way, Modesto, CA 95356 | 2007-02-27 |
| 1396871091 | Michael Steven Beck | Social Worker | 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 | 2007-02-26 |
| Find all providers in zip 95356 | ||||
| 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 |
|---|---|---|---|---|
| 1851947410 | Malhi Pharmacy Inc | Pharmacy | 1620 Crows Landing Rd Ste H, Modesto, CA 95358-5602 | 2019-08-09 |
| 1861965410 | Familia Farmacia Inc | Pharmacy | 1757 Crows Landing Rd, Modesto, CA 95358-5608 | 2019-01-07 |
| 1396944872 | Raleys | Pharmacy | 3020 Floyd Ave, Modesto, CA 95355-9604 | 2007-07-13 |
| 1689752198 | Gil-jer, Inc | Pharmacy | 2400 Coffee Rd, Ste I, Modesto, CA 95355-2051 | 2006-11-01 |
| 1740374149 | Best Pharmacy Nguyen Giao | Pharmacy | 639 Paradise Rd, Suite 5, Modesto, CA 95351-3108 | 2006-10-03 |
| 1528178282 | Raleys | Pharmacy | 1611 E Hatch Rd, Modesto, CA 95351-5009 | 2006-08-30 |
| 1477663086 | Costco Wholesale Corporation | Pharmacy | 3801 Pelandale Ave, Modesto, CA 95356 | 2006-08-30 |
| 1952317513 | Walgreen Co | Pharmacy | 2101 E Hatch Rd, Modesto, CA 95351-4814 | 2006-08-01 |
| 1891717682 | Garfield Beach Cvs LLC | Pharmacy | 3405 Mchenry Ave, Modesto, CA 95350-1445 | 2006-07-24 |
| 1629012075 | Longs Drug Stores California LLC | Pharmacy | 2900 Standiford Ave, Modesto, CA 95350-0167 | 2006-06-16 |
| Find all providers in MODESTO | ||||
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| 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.