KAISER FOUNDATION HOSPITALS (NPI# 1790832020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790832020 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HOSPITALS |
| Other Organization Name | KAISER PERMANENTE PHARMACY #171 |
| Practice Address |
2295 S Vineyard Ave Bldg B Fl-1 Rm A1013 Ontario CA 91761-7925 |
| Mailing Address |
12254 Bellflower Blvd Fl 2 Pharmacy Operations Downey CA 90242-2804 |
| Practice Telephone | 8666999744 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-20 |
| Authorized Official Name | ALAN KIYOHARA (VP PHARMACY OPERATIONS & SVCS, SCAL) |
| Authorized Official Telephone | 5626583510 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY46811 | CA | Suppliers |
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers | ||
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 5613535 | 01 |
| Other Name | Type Code |
|---|---|
| KAISER PERMANENTE PHARMACY #171 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609496215 | Kaiser Foundation Hospitals | Pharmacy | 274 International Cir Fl 1 Rm 104, San Jose, CA 95119 | 2020-04-23 |
| 1740822766 | Kaiser Foundation Hospitals | Pharmacy | 18600 S Figueroa St Fl-1, Rm S1085a, Gardena, CA 90248-4505 | 2019-10-10 |
| 1770045395 | Kaiser Foundation Hospitals | Pharmacy | 3100 Dublin Blvd Fl 2, Rm 2353, Dublin, CA 94568-4363 | 2019-04-02 |
| 1619432598 | Kaiser Foundation Hospitals | Clinic/Center | 27200 Iris Avenue Mob 2, Moreno Valley, CA 92555-4803 | 2019-02-05 |
| 1134612468 | Kaiser Foundation Hospitals | Clinic/Center | 1721 Technology Dr Ste 245, San Jose, CA 95110-1305 | 2018-06-12 |
| 1265888630 | Kaiser Foundation Hospitals | Pharmacy | 9521 Dalen St Rm R, Downey, CA 90242-4847 | 2016-05-04 |
| 1891048807 | Kaiser Foundation Hospitals | General Acute Care Hospital | 2875 Nw Stucki Ave., Hillsboro, OR 97124-5806 | 2012-10-16 |
| 1689940991 | Kaiser Foundation Hospitals | Pharmacy | 2295 S Vineyard Ave Bldg H, Ontario, CA 91761-7925 | 2012-03-30 |
| 1497061089 | Kaiser Foundation Hospitals | Pharmacy | 9400 Rosecrans Ave Fl 2, Bellflower, CA 90706-2246 | 2010-08-20 |
| 1962724856 | Kaiser Foundation Hospitals | Hospice Care, Community Based | 17542 East 17th Street, Suite 300, Tustin, CA 92780-1960 | 2010-02-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | KAISER FOUNDATION HOSPITALS | One Kaiser Plaza, Oakland, CA 94612 |
| New York State Corporations | KAISER FOUNDATION HOSPITALS | 80 State Street, Albany, New York 12207 |
| Oregon Corporations, Companies and Business Names | KAISER FOUNDATION HOSPITALS | One Kaiser Plaza, Oakland, CA 94612 |
| Washington State Corporations | KAISER FOUNDATION HOSPITALS | One Kaiser Plaza, Oakland, CA 94612 |
| North Carolina Corporations | Kaiser Foundation Hospitals | 2626 Glenwood Avenue, Suite 550, Raleigh, NC 27608 |
| Massachusetts Corporations | KAISER FOUNDATION HOSPITALS | One Kaiser Plaza, Oakland, CA 94612 |
| Virginia Business Entities | KAISER FOUNDATION HOSPITALS | 1 Kaiser Plz, Oakland, California 94612-3610 |
| Connecticut Business Registrations | KAISER FOUNDATION HOSPITALS, A CALIFORNIA CORPORATION | One Kaiser Plaza, Oakland, CA 94612 |
| Street Address |
2295 S VINEYARD AVE BLDG B FL-1 RM A1013 |
| City | ONTARIO |
| State | CA |
| Zip Code | 91761-7925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558359075 | Barry S Bricca | Audiologist | 2295 S Vineyard Ave, Ontario, CA 91761 | 2005-10-10 |
| 1215569488 | Steven Christopher Nassar | Pharmacist | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2020-02-06 |
| 1144865981 | Brian Huang | Physical Therapist | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2019-11-15 |
| 1740837798 | Martin R. Dole | Registered Nurse | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2019-08-23 |
| 1952869117 | Amirali Sepehrdad | Pharmacist | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2019-03-06 |
| 1326513698 | Kelsey Lauren Pundamiera | Speech-Language Pathologist | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2018-10-12 |
| 1699259739 | Teresa Uytingco Mendez | Respiratory Therapist, Certified | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2018-09-24 |
| 1871073411 | Jisha Pangottil | Nurse Practitioner | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2018-08-14 |
| 1265973762 | Claire Fitz | Pharmacist | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2017-03-16 |
| 1811438500 | Pauline Poon | Pharmacist | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2017-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902418163 | Blue Oak Counseling Services, Inc. | Counselor | 3200 Guasti Rd #100, Ontario, CA 91761 | 2020-08-19 |
| 1578115986 | Hadel Awad | Behavior Technician | 1801 South Excise Ave, 116, Ontario, CA 91761 | 2019-07-15 |
| 1265902845 | Stephanie Escalante | Behavior Technician | 1801 S. Excise Ave. #116, Ontario, CA 91761 | 2018-11-27 |
| 1801395595 | Optimum Bio Lab Inc | Clinical Medical Laboratory | 1910 S Archibald Ave #d, Ontario, CA 91761 | 2018-02-07 |
| 1871010033 | Evelyn Esther Martinez | Case Manager/Care Coordinator | 1556 S. Sultana Ave., Ontario, CA 91761 | 2017-08-28 |
| 1750812525 | Building Bridges Christian Counseling | Marriage & Family Therapist | 3200 Guasti Road, Suite 100, Ontario, CA 91761 | 2017-03-23 |
| 1659829513 | Gregory J Musselman | Physician Assistant | 3550 E Philadelphia St Ste 150, Ontario, CA 91761 | 2016-09-20 |
| 1700332327 | Ramon Cardenas | Registered Nurse | 721 E. Banyan St., Ontario, CA 91761 | 2016-09-01 |
| 1023565660 | Breanna Gonzalez | Occupational Therapist | 3449 S. Wrangler Pl., Ontario, CA 91761 | 2016-09-01 |
| 1326491507 | Sasha Khawaja | Specialist/Technologist | 1500 So. Haven Ave, Ste 190, Ontario, CA 91761 | 2016-07-22 |
| Find all providers in zip 91761 | ||||
| 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 |
|---|---|---|---|---|
| 1780022814 | Bioscrip Infusion Services, Inc | Pharmacy | 840 S Rochester, Unit A, Ontario, CA 91761-8172 | 2013-06-11 |
| 1053477323 | Kaiser Foundation Health Plan Inc | Pharmacy | 2295 S Vineyard Ave, Basement, Ontario, CA 91761-7925 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609496215 | Kaiser Foundation Hospitals | Pharmacy | 274 International Cir Fl 1 Rm 104, San Jose, CA 95119 | 2020-04-23 |
| 1093278236 | Gold Country Compounding LLC | Pharmacy | 11990 Heritage Oak Pl Ste 2c, Auburn, CA 95603-2405 | 2019-04-12 |
| 1669935177 | Creative Care-rx, Inc. | Pharmacy | 3303 Harbor Blvd Ste C4, Costa Mesa, CA 92626-1518 | 2019-04-11 |
| 1396204095 | Nordahl Pharmacy Corp | Pharmacy | 740 Nordahl Rd Ste 120, San Marcos, CA 92069-3545 | 2019-03-13 |
| 1104329820 | Oz Med, Inc. | Pharmacy | 44150 Town Center Way, Ste B4, Palm Desert, CA 92260 | 2018-03-09 |
| 1639688732 | Cure Stat Rx Home Infusion and Specialty Pharmacy Inc | Pharmacy | 6725 Mesa Ridge Rd Ste 202&230, San Diego, CA 92121-2923 | 2017-09-21 |
| 1770010068 | Onesource Compounding Pharmacy | Pharmacy | 104 Whispering Pines Dr Ste 105, Scotts Valley, CA 95066 | 2017-05-17 |
| 1326498619 | Preferred Pharmacy Inc | Pharmacy | 3303 Harbor Blvd Ste H7, Costa Mesa, CA 92626-1523 | 2016-06-16 |
| 1720449267 | Hot Springs Pharmacy Inc | Pharmacy | 13313 Palm Dr Ste A, Desert Hot Springs, CA 92240-5980 | 2016-03-11 |
| 1447619432 | Qps Pharmacy Inc | Pharmacy | 18502 Beach Blvd, Suite 116, Huntington Beach, CA 92648-2019 | 2016-02-18 |
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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.