KAISER FOUNDATION HEALTH PLAN INC (NPI# 1780032623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780032623 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN INC |
| Other Organization Name | KAISER PERMANENTE PHARMACY #305C |
| Practice Address |
6041 Cadillac Ave Rm 4644 Los Angeles CA 90034-1702 |
| Practice Telephone | 3238574123 |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2017-04-11 |
| Authorized Official Name | DAVID KVANCZ (VP NAT'L PHRMCY PROG & SVCS) |
| Authorized Official Telephone | 5626583510 |
| Is Organization Subpart | Y |
| Parent Organization Name | KAISER FOUNDATION HEALTH PLAN INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | PHY55589 | CA | Suppliers |
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
PHY55589 | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| Kaiser Permanente Pharmacy #305C | 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 |
6041 CADILLAC AVE RM 4644 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90034-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972596708 | Grace Choi | Optometrist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2005-08-26 |
| 1417561788 | Shirldawn Williams | Social Worker | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2020-09-03 |
| 1720699952 | Beatrice Nguy | Pharmacist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2020-08-12 |
| 1598375982 | Kristina Lynn Wong | Pharmacist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2020-07-31 |
| 1033733472 | Ashika Sharma | Pharmacist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2020-06-02 |
| 1043834484 | Jose Conde | Pharmacist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2020-06-01 |
| 1164045480 | Jenelle Newell | Pharmacist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2020-05-20 |
| 1316569155 | Swan An | Pharmacist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2020-05-14 |
| 1790307882 | Jennifer Kitahara | Pharmacist | 6041 Cadillac Ave, Los Angeles, CA 90034-1700 | 2020-05-12 |
| 1316568090 | Calvin Lai | Pharmacist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2020-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518582014 | Pdi Health Ca LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3415 South Sepulveda Blvd Ste 1100, Los Angeles, CA 90034 | 2020-06-10 |
| 1154888063 | Lanmc Corporation | Community/Behavioral Health | 1920 S. Robertson Blvd., Los Angeles, CA 90034 | 2019-02-27 |
| 1841799400 | Benjamin Kerneves | Physical Therapist | 3637 Clarington Ave, Los Angeles, CA 90034 | 2018-02-08 |
| 1497274799 | Nancy Mcdonald | Counselor | 9854 National Blvd., #493, Los Angeles, CA 90034 | 2017-09-18 |
| 1063931608 | Alexa Rohach | Physical Therapist | 3710 Midvale Ave, Unit 109, Los Angeles, CA 90034 | 2017-09-14 |
| 1225551807 | Bts Outpatient LLC | Counselor | 8847 Venice Blvd, Los Angeles, CA 90034 | 2017-07-25 |
| 1316467400 | Clarissa Green | Rehabilitation Counselor | Vista Del Mar 3200 Motor Ave, Los Angeles, CA 90034 | 2017-06-21 |
| 1245789940 | Genesis Psychology Group, Inc. | Psychologist | 3611 Motor Ave., Suite 240, Los Angeles, CA 90034 | 2016-09-23 |
| 1245787712 | Mahsa Harati | Dentist | 3670 Glendon Ave, Apt # 204, Los Angeles, CA 90034 | 2016-09-01 |
| 1134675440 | Noelle Antoinette Avellino | Social Worker | 3384 Motor Ave., Los Angeles, CA 90034 | 2016-08-28 |
| Find all providers in zip 90034 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346628047 | Fusion Iv Pharmaceuticals Inc. | Pharmacy | 1990 Westwood Blvd # 135, Los Angeles, CA 90025-4650 | 2015-05-13 |
| 1417344797 | Drs E&e Investment LLC | Pharmacy | 3426 Whittier Blvd, Los Angeles, CA 90023-1708 | 2015-04-23 |
| 1861731374 | Curerx Compounding Pharmacy | Pharmacy | 5060 W Sunset Blvd, Ste C, Los Angeles, CA 90027-5840 | 2013-02-04 |
| 1699031468 | Global Compounding Pharmacy LLC | Pharmacy | 1544 Purdue Ave, Los Angeles, CA 90025-3105 | 2012-04-06 |
| 1457620486 | Curerx Incorporated | Pharmacy | 5060 W Sunset Blvd # C, Los Angeles, CA 90027-5840 | 2011-12-20 |
| 1457674426 | Bbk Global Corp | Pharmacy | 11670 San Vicente Blvd Ste A, Los Angeles, CA 90049-5127 | 2010-03-05 |
| 1043447204 | Dr N Vahedi Pharmacy Inc | Pharmacy | 2001 Westwood Blvd Ste A, Los Angeles, CA 90025-6328 | 2009-06-16 |
| 1437273224 | Clinton and Clinton Inc | Pharmacy | 11700 National Blvd Ste L, Ste L, Los Angeles, CA 90064-3668 | 2007-03-18 |
| 1619036043 | Emerson Pharmacy Inc | Pharmacy | 8610 S Sepulveda Blvd Ste 108, Los Angeles, CA 90045-4009 | 2006-12-08 |
| 1295823318 | Complete Infusion Care,cic,inc | Pharmacy | 2310 S Sepulveda Blvd, Los Angeles, CA 90064-1911 | 2006-10-11 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90034 |
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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.