KAISER PERMANENTE VALLEJO (NPI# 1801983150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801983150 |
| Entity Type | Organization |
| Organization Name | KAISER PERMANENTE VALLEJO |
| Practice Address |
975 Sereno Dr Vallejo CA 94589-2441 |
| Mailing Address |
1764 Stuart Ct Benicia CA 94510-1731 |
| Practice Telephone | 7076512906 |
| Mailing Telephone | 7077461339 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2008-10-15 |
| Authorized Official Name | CAMILE APPLIN-JONES (SERVICE DIRECTOR) |
| Authorized Official Telephone | 7076514790 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | RN276380 | CA | Hospitals |
| Y | 261QA0005X |
Clinic/Center Specialization: Ambulatory Family Planning Facility |
RN276380 | CA | Ambulatory Health Care Facilities |
| Street Address |
975 SERENO DR |
| City | VALLEJO |
| State | CA |
| Zip Code | 94589-2441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940620 | James A Carolan | Specialist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2005-05-31 |
| 1386243483 | Chrismichael C Caniaveral | Pulmonary Function Technologist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-10-20 |
| 1598376188 | Justin Parungao Vallarta | Pharmacist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-08-16 |
| 1083232524 | Jeremy Cobb Mutter | Respiratory Therapist, Certified | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-07-10 |
| 1083230361 | Rabeea Abbas | Orthopaedic Surgery | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-06-22 |
| 1518588490 | Claudia S Vanover | Radiology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-05-01 |
| 1013536937 | Nicole Anne Madrilejo | Student in an Organized Health Care Education/Training Program | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-04-10 |
| 1457970527 | Sean N Ryan | Physical Therapist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-04-09 |
| 1528687787 | Natalie Sukie White | Student in an Organized Health Care Education/Training Program | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-04-08 |
| 1801423223 | Jacqueline Yu | Student in an Organized Health Care Education/Training Program | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-03-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366903478 | Nabreea Dianna Moore | Behavioral Analyst | 1300 Donner Pass Rd, Vallejo, CA 94589 | 2019-03-29 |
| 1588131221 | Alejandra Hernandez De Leon | Behavioral Analyst | 151 Mimosa Ct, Vallejo, CA 94589 | 2018-10-31 |
| 1821588948 | Angela Ancheta Laco | Behavioral Analyst | 71 Los Cerritos Dr, Vallejo, CA 94589 | 2018-05-14 |
| 1851750764 | Shauntell Hudson | Counselor | 112 Basalt Dr, Vallejo, CA 94589 | 2016-02-19 |
| 1982997680 | Shuttle California Transit, LLC | Private Vehicle | 322 Lemon St, Vallejo, CA 94589 | 2011-05-27 |
| 1588813455 | Shay Teresa Loftus | Psychologist | 1761 Broadway, Suite 100, Vallejo, CA 94589 | 2008-09-16 |
| 1063629236 | Michael Francis Edziak | Dentist | 150 Hospital Dr., Vallejo, CA 94589 | 2007-05-17 |
| 1346454220 | Diljit Bahuleyan Karayil | Internal Medicine | 975 Sereno Drive, Medical Office- 8, Kaiser Permanente Medical Center, Vallejo, CA 94589 | 2007-05-09 |
| 1174745525 | Thomas Welch Gross | Emergency Medicine | Emergency Dept., Kaiser Permanente Medical Center, 675 Sereno Dr, Vallejo, CA 94589 | 2007-05-03 |
| 1639207756 | James D Prigmore | Dentist | 1620 Valle Vista Ave, Ste 100, Vallejo, CA 94589 | 2007-03-01 |
| Find all providers in zip 94589 | ||||
| Taxonomy Code | 261QA0005X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Family Planning Facility |
| An abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801440276 | Family Planning Associates Medical Group, Inc. | Clinic/Center | 301 N Prairie Ave Ste 611, Inglewood, CA 90301-4513 | 2019-07-24 |
| 1205490802 | Iradj Nazarian Md | Clinic/Center | 5043 Whittier Blvd, Los Angeles, CA 90022-3116 | 2019-04-29 |
| 1437632742 | Family Planning Associates Medical Group, Inc. | Clinic/Center | 43845 10th St W Ste 1e, Lancaster, CA 93534-4800 | 2018-09-12 |
| 1245738194 | Soheil Lahijani M.d., A Medical Corporation | Clinic/Center | 1113 Alta Ave Ste 105, Upland, CA 91786-2803 | 2018-01-25 |
| 1093236986 | Family Planning Associates Medical Group, Inc. | Clinic/Center | 4922 Whittier Blvd, East Los Angeles, CA 90022-1111 | 2017-06-29 |
| 1700312642 | A1 Transportation Inc | Clinic/Center | 7247 Dustin Allan Ln, Van Nuys, CA 91405-2197 | 2017-05-11 |
| 1699156331 | Oakridge Inn Rcfe LLC. | Clinic/Center | 1281 Oakridge Dr, Glendale, CA 91205-3412 | 2015-06-17 |
| 1801205703 | Lew Medical | Clinic/Center | 960 Honeywood Ln, La Habra, CA 90631-6921 | 2014-08-05 |
| 1144564527 | Banj Health Center, Inc. | Clinic/Center | 3620 Mlk Jr Blvd, Lynwood, CA 90262-2607 | 2012-11-25 |
| 1306180195 | Genghong Liu IIi | Clinic/Center | 39156 State St, Fremont, CA 94538-1436 | 2012-11-16 |
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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.