KAISER FOUNDATION HEALTH PLAN INC (NPI# 1164579496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164579496 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN INC |
| Other Organization Name | KAISER PERMANENTE PHARMACY #571 |
| Practice Address |
5601 Deer Valley Rd Antioch CA 94531-8577 |
| Mailing Address |
1800 Harrison St Fl 13 Oakland CA 94612-3466 |
| Practice Telephone | 9258136122 |
| Practice Fax Number | 9258136111 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-10-20 |
| Authorized Official Name | KATHRYN RENOUARD BROWN (VP PHARMACY OPERATIONS AND SERVICES) |
| Authorized Official Telephone | 5106252363 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY46459 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA464590 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 5600564 | 01 |
| Other Name | Type Code |
|---|---|
| KAISER PERMANENTE PHARMACY #571 | 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 |
5601 DEER VALLEY RD |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94531-8577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346264967 | Carol Candiotti | Nurse Practitioner | 5601 Deer Valley Rd, Antioch, CA 94531-8577 | 2006-07-27 |
| 1730677535 | Maribel Diaz Campos | Physician Assistant | 5601 Deer Valley Rd, Antioch, CA 94531 | 2018-04-26 |
| 1942734397 | Nora Talebi | Pharmacist | 5601 Deer Valley Rd, Antioch, CA 94531-8577 | 2017-04-12 |
| 1578097028 | Colleen Chung | Pharmacist | 5601 Deer Valley Rd, Deer Valley Mob Pharmacy, Antioch, CA 94531-8577 | 2017-04-11 |
| 1619371085 | Melanie Gustavus | Speech-Language Pathologist | 5601 Deer Valley Rd, Antioch, CA 94531-8577 | 2014-10-14 |
| 1255776241 | Christina L Collins | Pharmacy Technician | 5601 Deer Valley Rd, Kaiser Drv Pharmacy, Antioch, CA 94531-8577 | 2013-05-03 |
| 1174966238 | Sohrab Singh Sidhu | Internal Medicine | 5601 Deer Valley Rd, Antioch, CA 94531-8577 | 2013-04-09 |
| 1316292998 | Clement Toh | Pharmacist | 5601 Deer Valley Rd, Antioch, CA 94531-8577 | 2012-07-19 |
| 1962785915 | Sandy Hue Truong | Pharmacist | 5601 Deer Valley Rd, Antioch, CA 94531-8577 | 2011-09-26 |
| 1134377377 | Kaiser Permanente | General Acute Care Hospital | 5601 Deer Valley Rd, Antioch, CA 94531-8577 | 2008-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406051 | Jayden Mendoza | Behavior Technician | 4849 Lone Tree Way Suite C, Antioch, CA 94531 | 2020-10-28 |
| 1093369720 | Lorena N/a Lepezmagana I | Behavior Technician | 4856 Weler Peak Way, 4856 Wexler Peak Way, Antioch, CA 94531 | 2019-07-31 |
| 1063976538 | Donna C Martinez | Respiratory Therapist, Registered | 4509 Sand Creek Rd, Antioch, CA 94531 | 2019-01-29 |
| 1215428107 | Sierra Singharath | Behavioral Analyst | 5344 Catanzaro Way, Antioch, CA 94531 | 2018-05-25 |
| 1972005551 | Meily Samantha Reyna | Behavioral Analyst | 1858 Mount Goethe Way, Antioch, CA 94531 | 2018-02-28 |
| 1225536477 | Constance Eileen Matous | Physical Therapy Assistant | 4041 Lone Tree Way Suite # 106, Antioch, CA 94531 | 2018-01-23 |
| 1851825921 | Alexander Lim Dds Inc | Dentist | 5171 Lone Tree Way, Antioch, CA 94531 | 2017-04-17 |
| 1467831222 | Jaylan Ishac | Behavioral Analyst | 4749 Crestone Peak Ct, Antioch, CA 94531 | 2015-05-27 |
| 1164831830 | Akape Home Care Agency | Home Health | 2487 Stanford Way, Ste 1a, Antioch, CA 94531 | 2014-08-07 |
| 1679992515 | Joseph Vojtko | Ophthalmology | 4501 Sand Creek Rd Dept Of, Antioch, CA 94531 | 2014-04-08 |
| Find all providers in zip 94531 | ||||
| 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 |
|---|---|---|---|---|
| 1427688316 | Delta Medical Pharmacy Antioch | Pharmacy | 1888 A St, Antioch, CA 94509-2602 | 2020-01-21 |
| 1649821091 | Newpath Vital Rx Inc. | Pharmacy | 425 Lake St Ste A, Antioch, IL 60002-1464 | 2019-09-26 |
| 1700304839 | Good Shepherd Pharmacy LLC | Pharmacy | 2717 B Murfreesboro Pike, Antioch, TN 37013 | 2017-09-08 |
| 1164579488 | Kaiser Foundation Health Plan Inc | Pharmacy | 3670 Delta Fair Blvd, Antioch, CA 94509-4006 | 2007-01-05 |
| 1295838993 | Tennessee Cvs Pharmacy, L.L.C. | Pharmacy | 2788 Murfreesboro Rd, Antioch, TN 37013-2004 | 2006-09-07 |
| 1336256007 | K Mart Corp | Pharmacy | 3625 E 18th St, Antioch, CA 94509-8511 | 2006-08-25 |
| 1972510998 | Walgreen Co | Pharmacy | 2909 Murfreesboro Pike, Antioch, TN 37013-2227 | 2006-08-02 |
| 1871082982 | Cane Ridge Rx LLC | Pharmacy | 825 Hamilton Crossings, Antioch, TN 37013 | 2018-05-03 |
| 1588860951 | Kaiser Foundation Health Plan Inc | Pharmacy | 4501 Sand Creek Rd, 1st Flr Rm 1125, Antioch, CA 94531-8687 | 2007-06-22 |
| 1376691253 | Kaiser Foundation Health Plan Inc | Pharmacy | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 | 2007-01-08 |
| Find all providers in ANTIOCH | ||||
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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.