KAISER FOUNDATION HEALTH PLAN INC (NPI# 1760628911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760628911 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN INC |
| Other Organization Name | KAISER PERMANENTE PHRMCY #563 |
| Practice Address |
12801 Crossroads Pkwy S City of Industry CA 91746-3502 |
| Practice Telephone | 6268515351 |
| Mailing Telephone | 6268515351 |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2010-11-24 |
| Authorized Official Name | DAVID KVANCZ (VP NAT'L PHRMCY PROG & SVCS) |
| Authorized Official Telephone | 5626583510 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY49769 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1760628911 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 5633119 | 01 |
| Other Name | Type Code |
|---|---|
| Kaiser Permanente Phrmcy #563 | 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 |
12801 CROSSROADS PKWY S |
| City | CITY OF INDUSTRY |
| State | CA |
| Zip Code | 91746-3502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649475906 | Karilynn Miyoko Moriyama | Physical Therapist | 12801 Crossroads Pkwy S, City of Industry, CA 91746-3412 | 2007-06-18 |
| 1366980997 | Chan Kiet Wong | Pharmacist | 12801 Crossroads Pkwy S, City of Industry, CA 91746-3502 | 2017-02-02 |
| 1053763490 | Blayne Cutler | Internal Medicine | 12801 Crossroads Pkwy S, 12801 Crossroads Parkway, Sute 200, City of Industry, CA 91746-3502 | 2016-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891291688 | Kelsey Harrold | Marriage & Family Therapist | 13200 Crossroads Pkwy, #335, City of Industry, CA 91746 | 2018-04-02 |
| 1013428804 | Special Service for Groups, Inc. | Community Based Residential Treatment Facility, Mental Illness | 13139 Don Julian Rd., La Puente, CA 91746 | 2017-10-19 |
| 1982733689 | Fenghua Fu D.d.s., A Professional Corporation | Dentist | 13704 Amar Rd, La Puente, CA 91746 | 2007-03-06 |
| 1306989942 | Kira Kristine Au | Specialist/Technologist | 14301 Fairgrove Ave, La Puente, CA 91746 | 2007-02-14 |
| 1609978055 | Los Angeles Dental Office | Dentist | 13704 E Anar Rd, La Puente, CA 91746 | 2006-09-05 |
| 1639140346 | Professional Nurses Group, Inc. | Homemaker | 13181 Crossroads Pkwy N Ste 322, City of Industry, CA 91746 | 2006-01-30 |
| 1952888331 | Joshua Rios | Case Manager/Care Coordinator | 160 S 7th Ave, La Puente, CA 91746 | 2018-07-27 |
| 1447709175 | Evelyn Chavez | Counselor | 160 S 7th Ave, La Puente, CA 91746 | 2016-09-22 |
| 1295102861 | Leticia Miramontes Pelayo I | Counselor | 160 S 7th Ave, La Puente, CA 91746 | 2015-08-30 |
| 1619369196 | Samantha Valle | Case Manager/Care Coordinator | 160 S 7th Ave, La Puente, CA 91746 | 2015-02-20 |
| Find all providers in zip 91746 | ||||
| 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 |
|---|---|---|---|---|
| 1669582276 | Costco Wholesale Corporation | Pharmacy | 17550 Castleton St, City of Industry, CA 91748 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689987 | Capsule San Diego LLC | Pharmacy | 1450 Columbia St Ste B, San Diego, CA 92101-3487 | 2020-11-04 |
| 1023618824 | Ingram's Pharmacy, LLC | Pharmacy | 1115 Union Ave Unit 147-1c, Bakersfield, CA 93307-1050 | 2020-10-29 |
| 1750981874 | Capsule San Francisco LLC | Pharmacy | 475 University Ave, Palo Alto, CA 94301-1814 | 2020-10-28 |
| 1447850623 | Sterling Hatteras LLC | Pharmacy | 916 E Cypress Ave Ste 300, Redding, CA 96002-1038 | 2020-10-28 |
| 1922608454 | Vanessa Ann Marie Rita Pitts | Pharmacy | 26365 Buccaneer Ln, Helendale, CA 92342-7739 | 2020-10-26 |
| 1205435971 | Rinaldi Pharmacy, Inc. | Pharmacy | 11237 Tampa Ave, Porter Ranch, CA 91326-1610 | 2020-10-22 |
| 1467051300 | San Dimas Wellness Pharmacy | Pharmacy | 830 W Arrow Hwy Ste 830b, San Dimas, CA 91773-2498 | 2020-10-21 |
| 1225636889 | Med-plus Pharmacy Inc | Pharmacy | 335 Lindbergh Ave, Livermore, CA 94551-9291 | 2020-10-15 |
| 1689271066 | Innova Pharmacy Iv | Pharmacy | 4815 Watt Ave Ste B101, North Highlands, CA 95660-5108 | 2020-10-08 |
| 1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
| City | CITY OF INDUSTRY |
| Zip Code | 91746 |
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.