KABAFUSION, LLC (NPI# 1811214216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811214216 |
| Entity Type | Organization |
| Organization Name | KABAFUSION, LLC |
| Other Organization Name | KABAFUSION, LLC |
| Practice Address |
17777 Center Court Dr N Suite 175 Cerritos CA 90703-9320 |
| Mailing Address |
17777 Center Court Dr N Suite 550 Cerritos CA 90703-9320 |
| Practice Telephone | 5628630555 |
| Practice Fax Number | 8774458821 |
| Mailing Telephone | 8004353020 |
| Mailing Fax Number | 5626455396 |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | MICHAEL RIGAS (CHIEF CLINICAL OFFICER) |
| Authorized Official Telephone | 8004353020 |
| Authorized Official Credential | PHARM. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 52567 | CA | Suppliers |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
PH02917 | NV | Suppliers |
| N | 333600000X | Pharmacy | RP-0003286 | OR | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHNR.FO.60730123 | WA | Suppliers |
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Y006001 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 353523 | 05 | |
| CA | 1811214216 | 05 | |
| PK | 2125999 | 01 |
| Other Name | Type Code |
|---|---|
| KabaFusion, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932786 | Kabafusion, LLC | Durable Medical Equipment & Medical Supplies | 5860 W. Las Positas Blvd, Suite 19, Pleasanton, CA 94588 | 2020-11-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | KABAFUSION, LLC | 17777 Center Court Dr N Ste 550, Cerritos, CA 90703-9337 |
| Oregon Corporations, Companies and Business Names | KABAFUSION, LLC | 17777 Center Court Dr N Ste 550, Cerritos, CA 90703 |
| Street Address |
17777 CENTER COURT DR N SUITE 175 |
| City | CERRITOS |
| State | CA |
| Zip Code | 90703-9320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265614044 | Angel City Hospice Care, Inc. | Hospice Care, Community Based | 17777 Center Court Dr N, Suite 250, Cerritos, CA 90703-9320 | 2007-12-03 |
| 1215471149 | Autism Spectrum Support Center, LLC | Counselor | 17777 Center Court Dr N, Suite 600, Cerritos, CA 90703-9320 | 2016-12-12 |
| 1285176008 | Angel City Hospice Care Inc | Clinic/Center | 17777 Center Court Dr N, Suite 250, Cerritos, CA 90703-9320 | 2016-11-10 |
| 1821472564 | Berkeley Global Solutions Inc | Non-emergency Medical Transport (VAN) | 17777 Center Court Dr N, 600, Cerritos, CA 90703-9320 | 2015-07-13 |
| 1962800276 | Michael Rigas | Pharmacist | 17777 Center Court Dr N, Suite 550, Cerritos, CA 90703-9320 | 2014-12-18 |
| 1689902603 | Kimber Kathleen Watson Nelson | Physician Assistant | 17777 Center Court Dr N, Suite 400, Cerritos, CA 90703-8567 | 2009-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909582 | Michael Wong Dental Corporation | Dentist | 11549 South Street, Cerritos, CA 90703 | 2020-10-15 |
| 1144837139 | Essential California Ipa Inc. | Health Maintenance Organization | 1800 Studebaker Rd., 100, Cerritos, CA 90703 | 2020-09-24 |
| 1447868377 | Auxilium Health Network, Inc. | Health Maintenance Organization | 18000 Studebaker Dr, Cerritos, CA 90703 | 2020-07-16 |
| 1154939098 | Absolute Medical Partners, A Professional Medical Corporation | Health Maintenance Organization | 18000 Studebaker Rd., Ste 100, Cerritos, CA 90703 | 2020-07-16 |
| 1558906487 | Vitruvian Care, Inc. | Health Maintenance Organization | 18000 Studebaker Road Suite 100, Cerritos, CA 90703 | 2019-11-14 |
| 1841843554 | Ha Tran Tsai Dental Corporation | Dentist | 16466 Norwalk Boulevard, Cerritos, CA 90703 | 2019-07-22 |
| 1457828097 | Angela Ofoegbu | Registered Nurse | 10733 Elgers St, Cerritos, CA 90703 | 2018-11-01 |
| 1689183352 | Zeela G Diwa | Occupational Therapist | 12736 Palm Street, Cerritos, CA 90703 | 2017-09-26 |
| 1114446119 | Cooper Lee | Physical Therapist | 18503 Noran Ave, Cerritos, CA 90703 | 2017-09-12 |
| 1295259141 | Miyeon Vivienne Lee | Nurse Practitioner | 13337 South Street #158, Cerritos, CA 90703 | 2017-08-02 |
| Find all providers in zip 90703 | ||||
| Taxonomy Code | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447897921 | Pharmacy Home Infusion Network | Pharmacy | 900 W Glenoaks Blvd Ste G, Glendale, CA 91202-2664 | 2019-12-04 |
| 1073085007 | Kaiser Foundation Health Plan Inc | Pharmacy | 615 W Avenue L Trailer, Lancaster, CA 93534-7211 | 2019-01-02 |
| 1386155752 | Toci Health Inc | Pharmacy | 8851 Watson St Apt B, Cypress, CA 90630-2269 | 2017-10-12 |
| 1154875466 | Medquick Prescription Shoppe Inc | Pharmacy | 923 Cole Ave, Los Angeles, CA 90038-2610 | 2016-08-04 |
| 1841665973 | Biomed California, Inc | Pharmacy | 721 S Glasgow Ave., Suite C, Inglewood, CA 90301-3016 | 2015-12-01 |
| 1790158756 | Soleo Health Inc. | Pharmacy | 1324 W. Winton Ave, Hayward, CA 94545-1408 | 2015-11-12 |
| 1982013462 | Medrx Infusion Clinical Pharmacy, LLC | Pharmacy | 415 N Oak St, Inglewood, CA 90302-3314 | 2014-08-08 |
| 1669884722 | Dm Clinical Collaborations | Pharmacy | 6108 San Fernando Rd, Glendale, CA 91201-2240 | 2014-05-23 |
| 1609209352 | Santa Barbara Specialty Pharmacy LLC | Pharmacy | 4690 Carpinteria Ave Ste B, Carpinteria, CA 93013-1875 | 2013-08-16 |
| 1265773501 | Saint Paul Enterprises, Inc. | Pharmacy | 1010 E Arrow Hwy, Covina, CA 91724-1020 | 2013-03-12 |
| Find all providers with the same taxonomy | ||||
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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.