KAISER FOUNDATION HEALTH PLAN INC (NPI# 1063569390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063569390 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN INC |
| Other Organization Name | KAISER PERMANENTE PHARMACY NO 179 |
| Practice Address |
10850 Arrow Rte Rancho Cucamonga CA 91730-4833 |
| Practice Telephone | 8663422822 |
| Practice Fax Number | 9094773978 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-07 |
| 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 | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY43772 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 5617355 | 01 | |
| CA | 1063569390 | 05 |
| Other Name | Type Code |
|---|---|
| KAISER PERMANENTE PHARMACY NO 179 | Doing Business As Name - 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 |
10850 ARROW RTE |
| City | RANCHO CUCAMONGA |
| State | CA |
| Zip Code | 91730-4833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629182845 | James Lowell Hammond | Optometrist | 10850 Arrow Rte, Rancho Cucamonga, CA 91730-4833 | 2006-08-17 |
| 1396377826 | Margarita Tapia | Nurse Practitioner | 10850 Arrow Rte, Rancho Cucamonga, CA 91730-4833 | 2020-02-12 |
| 1093246472 | Regina Wang | Family Medicine | 10850 Arrow Rte, Rancho Cucamonga, CA 91730-4833 | 2017-03-27 |
| 1952842809 | Tuan Huynh | Pharmacist | 10850 Arrow Rte, Rancho Cucamonga, CA 91730-4833 | 2017-03-12 |
| 1912448911 | Irina Shostak | Pharmacist | 10850 Arrow Rte, Rancho Cucamonga, CA 91730-4833 | 2017-03-10 |
| 1972044972 | Isabella Tam | Pharmacist | 10850 Arrow Rte, Rancho Cucamonga, CA 91730-4833 | 2017-03-10 |
| 1659812659 | Leila Rahbar Robles | Pharmacist | 10850 Arrow Rte, Rancho Cucamonga, CA 91730-4833 | 2017-03-10 |
| 1780901413 | Louisa Hanna Ramirez | Family Medicine | 10850 Arrow Rte, Rancho Cucamonga, CA 91730-4833 | 2010-04-20 |
| 1639324619 | Michelle C Phan | Optometrist | 10850 Arrow Rte, Rancho Cucamonga, CA 91730-4833 | 2008-11-18 |
| 1386762508 | Helen Chi Nguyen | Family Medicine | 10850 Arrow Rte, Rancho Cucamonga, CA 91730-4833 | 2007-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932722444 | Alliancerx Health Solutions, LLC. | Clinical Medical Laboratory | 9431 Haven Ave, Suite 100 #376, Rancho Cucamonga, CA 91730 | 2020-05-19 |
| 1346860194 | Wecare Dialysis Center | Clinic/Center | 8591 Grove Ave, Rancho Cucamonga, CA 91730 | 2020-04-22 |
| 1982235263 | Mel Latone Family Counseling, Inc. | Marriage & Family Therapist | 9033 Base Line Road, Suite M, Rancho Cucamonga, CA 91730 | 2020-01-27 |
| 1205471240 | Breena Nakamoto | Social Worker | 9645 Arrow Route, Building 5, Suite A, Rancho Cucamonga, CA 91730 | 2019-11-13 |
| 1497300180 | Laura Estela Le | Behavior Technician | 8350 Archilbald Ave Ste 110, Rancho Cucamonga, CA 91730 | 2019-08-08 |
| 1336792100 | Swan Psychological Services, Inc. | Psychologist | 8333 E. Foothill Blvd., Suite 109, Rancho Cucamonga, CA 91730 | 2019-07-22 |
| 1568023745 | Mariah Wright | Behavior Technician | 10532 Arcacia St, B-11, Rancho Cucamonga, CA 91730 | 2019-06-27 |
| 1770140378 | Amanda Ware | Clinic/Center | 9333 Fairway View Place Suite 101, Rancho Cucamonga, CA 91730 | 2019-05-20 |
| 1265995435 | Collaborative Autism Management Programs Inc. | Community/Behavioral Health | 9360 Santa Anita Ave Ste 104, Rancho Cucamonga, CA 91730 | 2019-04-12 |
| 1700361326 | Brittany Rhone | Behavioral Analyst | 933 Baseline Rd, Rancho Cucamonga, CA 91730 | 2018-09-28 |
| Find all providers in zip 91730 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891353900 | Ahcs Rancho Pharmacy LLC | Pharmacy | 8237 Rochester Ave Ste 140, Rancho Cucamonga, CA 91730-0717 | 2019-06-04 |
| 1376042291 | Arrow Pharmacy Inc | Pharmacy | 8330 Red Oak St Ste 102, Rancho Cucamonga, CA 91730-0603 | 2018-02-06 |
| 1831556059 | United Rx Inc | Pharmacy | 10841 White Oak Ave Ste 101, Suite 101, Rancho Cucamonga, CA 91730-3811 | 2016-01-19 |
| 1649672809 | D & K Brothers Inc | Pharmacy | 10431 Lemon Ave Ste G, Rancho Cucamonga, CA 91737-3763 | 2014-09-19 |
| 1639508419 | Yds Pharmacy Corporation | Pharmacy | 8237 Rochester Ave Ste 120, Rancho Cucamonga, CA 91730-0717 | 2013-11-02 |
| 1790080539 | Akaranta Inc | Pharmacy | 8661 Baseline Rd, Rancho Cucamonga, CA 91730-1111 | 2011-01-25 |
| 1972772804 | Arrowmed Limited Partnership | Pharmacy | 9057 Arrow Route, Suite 170c, Rancho Cucamonga, CA 91730-4452 | 2008-02-25 |
| 1053421651 | Costco Wholesale Corporation | Pharmacy | 11800 4th St, Rancho Cucamonga, CA 91730 | 2006-08-30 |
| 1013934876 | Mari-mina Pharmaceuticals Inc | Pharmacy | 10700 Jersey Blvd, 330-340, Rancho Cucamonga, CA 91730-5116 | 2006-07-17 |
| 1205877115 | Garfield Beach Cvs LLC | Pharmacy | 7911 Haven Ave, Rancho Cucamonga, CA 91730-3066 | 2006-06-10 |
| Find all providers in RANCHO CUCAMONGA | ||||
| City | RANCHO CUCAMONGA |
| Zip Code | 91730 |
Please comment or provide details below to improve the information on KAISER FOUNDATION HEALTH PLAN INC.
| 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.