KAISER PERMANENTE (NPI# 1730380452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730380452 |
| Entity Type | Organization |
| Organization Name | KAISER PERMANENTE |
| Practice Address |
395 Hickey Blvd 1st Floor Pharmacy Daly City CA 94015-2770 |
| Practice Telephone | 6503015700 |
| Practice Fax Number | 6503015780 |
| Mailing Telephone | 6503015700 |
| Mailing Fax Number | 6503015780 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. IRENE PHAN (PHARMACY MANAGER) |
| Authorized Official Telephone | 6503015781 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
PHA46565 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL PROVIDER NUMBER | PHA465650 | 01 |
| 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 |
395 HICKEY BLVD 1ST FLOOR PHARMACY |
| City | DALY CITY |
| State | CA |
| Zip Code | 94015-2770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568492445 | Kenneth Hsu-ping Chuang | Internal Medicine | 395 Hickey Blvd, Daly City, CA 94015-2770 | 2006-07-04 |
| 1851910806 | Maria Carmen Ines Cabrera Nevalga | Dietitian, Registered | 395 Hickey Blvd, Daly City, CA 94015-2770 | 2020-04-09 |
| 1952876237 | Erica Ho | Pharmacist | 395 Hickey Blvd, Daly City, CA 94015-2770 | 2018-10-12 |
| 1073020376 | Gregory Art Garcia | Pharmacist | 395 Hickey Blvd, Daly City, CA 94015-2770 | 2018-01-08 |
| 1710408646 | Aleyna Sachiko Fong | Pharmacist | 395 Hickey Blvd, Daly City, CA 94015-2770 | 2017-06-30 |
| 1851824619 | Melissa Chinn | Pharmacist | 395 Hickey Blvd, Daly City, CA 94015-2770 | 2017-04-09 |
| 1861924698 | Annie Huang | Pharmacist | 395 Hickey Blvd, Daly City, CA 94015-2770 | 2017-03-30 |
| 1801328836 | Kathy Pui Law | Pharmacist | 395 Hickey Blvd, 1st Floor Pharmacy, Daly City, CA 94015-2770 | 2017-03-29 |
| 1245762202 | Sylvia Lo | Pharmacist | 395 Hickey Blvd, 1st Floor, Daly City, CA 94015-2770 | 2017-03-29 |
| 1073986030 | Bethany Pianca | Dietitian, Registered | 395 Hickey Blvd, Daly City, CA 94015-2770 | 2015-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881235901 | Fast Express Ride Inc | Non-emergency Medical Transport (VAN) | 381 Westlake Ctr # 292, Daly City, CA 94015 | 2019-09-30 |
| 1598231888 | National Vision Inc | Technician/Technologist | 148a Serramonte Center, Daly City, CA 94015 | 2018-10-15 |
| 1174017313 | Glaiza Cecilia S Canares | Student in an Organized Health Care Education/Training Program | 255 Dennis Drive, Daly City, CA 94015 | 2018-06-20 |
| 1154869477 | Noah Bautista | Massage Therapist | 151 87th St Suite 4, Daly City, CA 94015 | 2017-02-07 |
| 1417387291 | Accuquest Hearing Centers | Clinic/Center | 10 Park Plaza Dr., Daly City, CA 94015 | 2013-11-15 |
| 1801193800 | Carol Crane | Physical Therapy Assistant | 333 Gellert Dr., Suite 150, Supplemental Health Care, Daly City, CA 94015 | 2011-02-28 |
| 1366753808 | Emerito Cesar C Nunag | Physical Therapy Assistant | 595 Clarinada Avenue #2, Daly City, CA 94015 | 2010-06-30 |
| 1356668016 | Lauren Rose Hendrick | Marriage & Family Therapist | 355 Gellert Blvd Suite 280, Daly City, CA 94015 | 2010-04-21 |
| 1205061868 | Isabel A. Walsh | General Practice | 783 Skyline Dr., Daly City, CA 94015 | 2009-05-26 |
| 1790933539 | Frank Geoffrey Yeh | Dentist | 1440 Southgate Ave., Daly City, CA 94015 | 2008-09-05 |
| Find all providers in zip 94015 | ||||
| Taxonomy Code | 3336M0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Managed Care Organization Pharmacy |
| A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO’s covered members only. |
| 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 |
|---|---|---|---|---|
| 1225515778 | Arc Cares LLC | Pharmacy | 330 E Lambert Rd Ste 100, Brea, CA 92821-4100 | 2018-07-26 |
| 1801307590 | Track Mtm Pharmacy Inc. | Pharmacy | 4311 Haines St Apt 1, San Diego, CA 92109-4307 | 2017-10-20 |
| 1467500298 | Kaiser Foundation Health Plan Inc | Pharmacy | 3700 Vaca Valley Pkwy Fl 2, Vacaville, CA 95688-9430 | 2007-01-08 |
| 1689610784 | Baiden Group Inc | Pharmacy | 9160 California City Blvd, California City, CA 93505-2820 | 2006-06-20 |
| 1164912812 | Sarika Patel | Pharmacy | 12254 Bellflower Blvd, Bellflower Blvd, Downey, CA 90242 | 2018-05-17 |
| 1548750482 | Jocelyn Tran | Pharmacy | 12254 Bellflower Blvd, Downey, CA 90242-2804 | 2018-05-16 |
| 1558787002 | Apex Care Pharmacy Inc | Pharmacy | 347 N Main St, Livingston, CA 95334-1504 | 2014-03-07 |
| 1538497235 | Community Healthcare Services, Inc. | Pharmacy | 24747 Redlands Blvd, Suite D, Loma Linda, CA 92354-4026 | 2009-11-18 |
| 1154479905 | Kaiser Foundation Hospitals | Pharmacy | 27400 Hesperian Blvd, Hayward, CA 94545-4235 | 2007-01-08 |
| 1447307772 | Kaiser Foundation Hospitals | Pharmacy | 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 | 2007-01-05 |
| Find all providers with the same taxonomy | ||||
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.