KAISER FOUNDATION HEALTH PLAN INC (NPI# 1912384496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912384496 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN INC |
| Other Organization Name | KAISER PERMANENTE PHARMACY #729 |
| Practice Address |
7300 N Fresno St Palm Fl 3 Rm B332 Fresno CA 93720-2941 |
| Mailing Address |
1800 Harrison St Fl 13 Oakland CA 94612-3466 |
| Practice Telephone | 5594483882 |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2020-10-20 |
| Authorized Official Name | KATHRYN RENOUARD BROWN (VP PHARMACY OPERATIONS AND SERVICES) |
| Authorized Official Telephone | 5106252363 |
| 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 | PHY52500 | CA | Suppliers |
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
PHY52500 | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| Kaiser Permanente Pharmacy #729 | 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 |
7300 N FRESNO ST PALM FL 3 RM B332 |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-2941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518948108 | Sanjay Kumar | Orthopaedic Surgery | 7300 N Fresno St, Fresno, CA 93720-2941 | 2005-11-10 |
| 1306452776 | Omar Hernandez Panuco | Pharmacist | 7300 N Fresno St, Fresno, CA 93720-2942 | 2020-09-21 |
| 1619582749 | Geoffrey Ian Setiawan Ong | Pharmacist | 7300 N Fresno St, Fresno, CA 93720-2942 | 2020-09-15 |
| 1487268967 | Juliet Regis Vista | Clinical Nurse Specialist | 7300 N Fresno St, Fresno, CA 93720-2942 | 2020-09-02 |
| 1497367452 | Pouran Etezadi | Dietitian, Registered | 7300 N Fresno St, Fresno, CA 93720-2941 | 2020-08-20 |
| 1699390161 | Monica D Gomez | Speech-Language Pathologist | 7300 N Fresno St, Fresno, CA 93720-2941 | 2020-06-10 |
| 1497395271 | An Hong Pham | Pharmacist | 7300 N Fresno St, Fresno, CA 93720-2941 | 2020-01-09 |
| 1861033896 | Krystal Pombo | Registered Nurse | 7300 N Fresno St, Fresno, CA 93720-2941 | 2019-10-01 |
| 1780157735 | Britton John Ulmer | Respiratory Therapist, Registered | 7300 N Fresno St, Fresno, CA 93720-2941 | 2019-01-02 |
| 1346713336 | Mijeong Kim | Pharmacist | 7300 N Fresno St, Fresno, CA 93720-2941 | 2019-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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.