KAISER PERMANENTE


Address: 3420 Kenyon St, San Diego, CA 92110-5001
Phone: 6192216107

KAISER PERMANENTE (NPI# 1124223094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124223094
Entity Type Organization
Organization Name KAISER PERMANENTE
Practice Address 3420 Kenyon St
San Diego
CA 92110-5001
Practice Telephone 6192216107
Enumeration Date 2007-06-19
Last Update Date 2008-07-10
Authorized Official Name CONSTANCE MARY SULLIVAN (ADVICE NURSE)
Authorized Official Telephone 6192216107
Authorized Official Credential RN, MFT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 302R00000X Health Maintenance Organization F219608 CA Managed Care Organizations

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1588198402 Kaiser Permanente Medicare Defined Swing Bed Unit 9945 Valgrande Way, Elk Grove, CA 95757-3004 2017-04-18
1205377611 Kaiser Permanente Clinic/Center 965 N Humboldt St, Apt 201, Denver, CO 80218-3563 2017-03-17
1710427539 Kaiser Permanente Pharmacist 10601 Viscaino Pl, Bakersfield, CA 93311-3153 2017-02-27
1255877635 Kaiser Permanente Clinic/Center 1451 24th Street, Apt 146, Denver, CO 80205 2017-01-10
1073062832 Kaiser Permanente General Acute Care Hospital 4932 Santiago Drive, La Palma, CA 90623 2016-09-22
1043767445 Kaiser Permanente Health Maintenance Organization 5381 W Baseline Rd, Hillsboro, OR 97123-6447 2016-09-02
1154782936 Kaiser Permanente Clinic/Center 2238 Geary Blvd Rm 5c063, San Francisco, CA 94115-3416 2016-03-08
1427417666 Kaiser Permanente General Acute Care Hospital 1041 Elkgrove Ave, Apartment #4, Venice, CA 90291-3191 2016-02-16
1699148593 Kaiser Permanente Health Maintenance Organization 25965 S. Normandie Aveune, Harbor City, CA 90710 2015-11-02
1275905101 Kaiser Permanente Health Maintenance Organization 1800 Harrison St Fl 13th, Unit 1, Oakland, CA 94612-3471 2015-10-30

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities KAISER PERMANENTE 1800 Harrison St Fl 16, Oakland, CA 94612-3466
Virginia Business Entities KAISER PERMANENTE INSURANCE COMPANY 300 Lakeside Dr, Oakland, California 94612-3534
Colorado Business Entities KAISER PERMANENTE INSURANCE COMPANY 300 Lakeside Drive, Oakland, CA 94612

Office Location

Street Address 3420 KENYON ST
City SAN DIEGO
State CA
Zip Code 92110-5001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194803130 Lana Charlene Lee Psychiatry & Neurology 3420 Kenyon St, San Diego, CA 92110-5001 2006-11-01
1437669637 Tina Tsou Psychologist 3420 Kenyon St, San Diego, CA 92110-5001 2017-10-03
1407196413 Khadijah Hinna Bhutto Ramirez Marriage & Family Therapist 3420 Kenyon St, Building B, San Diego, CA 92110-5001 2013-02-28
1063788719 Melissa Hawthorne-campos Social Worker 3420 Kenyon St, San Diego, CA 92110-5001 2012-03-27
1770878977 Douglas Wayne Skelly-brown IIi Marriage & Family Therapist 3420 Kenyon St, San Diego, CA 92110-5001 2011-06-15
1003113622 Channing Gredvig Social Worker 3420 Kenyon St, San Diego, CA 92110-5001 2011-02-16
1033424817 Martha Kemper Batchelder Social Worker 3420 Kenyon St, San Diego, CA 92110-5001 2010-08-17
1316250285 Cherie Lee Traylor Social Worker 3420 Kenyon St, Bldg B, 2nd Floor, San Diego, CA 92110-5001 2010-07-21
1053549998 Shahida Parveen Psychiatric Hospital 3420 Kenyon St, San Diego, CA 92110-5001 2009-06-30
1134356264 Jane Agnes Sinclair Counselor 3420 Kenyon St, San Diego, CA 92110-5001 2009-06-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669021713 Ruben Daniel Gutierrez Marriage & Family Therapist 4141 Pacific Coast Hwy, San Diego, CA 92110 2019-09-10
1548724081 Denise Ellen Thompson Counselor 3255 Wings Street, San Diego, CA 92110 2019-01-29
1801378716 Michelle Lisa Jean Crawford Student in an Organized Health Care Education/Training Program 3767 Central Avenue, San Diego, CA 92110 2018-09-06
1427539048 Allison Turrell Case Manager/Care Coordinator 4930 Naples Street, San Diego, CA 92110 2018-08-22
1750872768 Matthew Langworthy Physical Therapist 3405 Kenyon St Ste 212, San Diego, CA 92110 2018-05-24
1245748342 The One Health Boutique, LLC Chiropractor 5350 Riley St, San Diego, CA 92110 2018-01-11
1437670155 Monique A Fernandez Counselor 3132 Jefferson Street, San Diego, CA 92110 2017-07-03
1538510391 Mayu Winters Registered Nurse 853 Rosecrans St, San Diego, CA 92110 2016-06-23
1376998864 Briniti Ichull Specialist 3941 Kurtz St, San Diego, CA 92110 2016-05-03
1912352576 Healthcare Services, Inc. Substance Abuse Rehabilitation Facility 3880 Rosecrans Street, San Diego, CA 92110 2016-05-02
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Taxonomy Information

Taxonomy Code 302R00000X
Grouping Managed Care Organizations
Classification Health Maintenance Organization

Taxonomy Definition

(1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851921860 Jj Physicians Group, Inc. Health Maintenance Organization 7825 Engineer Rd Ste 101, San Diego, CA 92111-1929 2020-01-17
1821503392 Aetna Better Health of California Inc. Health Maintenance Organization 10260 Meanley Dr, San Diego, CA 92131-3009 2017-12-06
1790134542 Jeanna Mae Castro Health Maintenance Organization 3609 4th Ave, San Diego, CA 92103-4105 2016-06-11
1679831325 University of California San Diego Health Maintenance Organization 4527 Contour Blvd, Unir 7, San Diego, CA 92115-3464 2012-05-01
1700186616 Seniors of San Diego Health Maintenance Organization 5019 Surfside Dr, San Diego, CA 92154-8449 2010-10-26
1831422203 Stairway Outreach, Inc. Health Maintenance Organization 16885 Via Del Campo Ct, Suite 210, San Diego, CA 92127-1721 2009-09-16
1013193341 Stg International Health Maintenance Organization 1717 Evergreen St, San Diego, CA 92106-1901 2008-01-16
1972794089 Sombath Senethong, M.d. Health Maintenance Organization 1748 Euclid Ave, San Diego, CA 92105-5415 2007-08-05
1023180189 Mission Medical Group of The Inland Empire Health Maintenance Organization 9275 Sky Park Ct Ste 400, San Diego, CA 92123-4386 2006-11-14
1407955016 Beth Corrick Mft Health Maintenance Organization 5752 Oberlin Dr Ste 203, San Diego, CA 92121-1749 2006-09-21
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Competitor

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City SAN DIEGO
Zip Code 92110

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Dataset Information

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.

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