KAISER FOUNDATION HEALTH PLAN INC (NPI# 1386933885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386933885 |
Entity Type | Organization |
Organization Name | KAISER FOUNDATION HEALTH PLAN INC |
Other Organization Name | KAISER PERMANENTE PHARMACY #657 |
Practice Address |
2295 S Vineyard Ave Bldg D Floor 1 Ontario CA 91761-7925 |
Practice Telephone | 9096093309 |
Mailing Telephone | 9096093309 |
Enumeration Date | 2011-04-05 |
Last Update Date | 2012-02-20 |
Authorized Official Name | DAVID KVANCZ (VP NAT'L PHRMCY PROG & SVCS) |
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 |
PHY50602 | CA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 1386933885 | 05 | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 5640619 | 01 |
Other Name | Type Code |
---|---|
Kaiser Permanente Pharmacy #657 | 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 |
2295 S VINEYARD AVE BLDG D FLOOR 1 |
City | ONTARIO |
State | CA |
Zip Code | 91761-7925 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447322672 | Stefanie Ann Varela | Nurse Practitioner | 2295 S Vineyard Ave Bldg D, Ontario, CA 91761 | 2006-11-14 |
1457835837 | Dzung T. Pham | Respiratory Therapist, Certified | 2295 S Vineyard Ave Bldg D, Ontario, CA 91761-7925 | 2018-09-20 |
1265914519 | David Lu | Pharmacist | 2295 S Vineyard Ave Bldg D, Ontario, CA 91761-7925 | 2018-09-04 |
1851612675 | Joanna Christine Lim | Surgery | 2295 S Vineyard Ave Bldg D, Ontario, CA 91761-7925 | 2010-06-15 |
1972763555 | Michael Seung Oh | Psychiatry & Neurology | 2295 S Vineyard Ave Bldg D, Ontario, CA 91761-7925 | 2008-06-16 |
1093834491 | Catherine A Walsh | Plastic Surgery | 2295 S Vineyard Ave Bldg D, Ontario, CA 91761-7925 | 2007-03-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902418163 | Blue Oak Counseling Services, Inc. | Counselor | 3200 Guasti Rd #100, Ontario, CA 91761 | 2020-08-19 |
1578115986 | Hadel Awad | Behavior Technician | 1801 South Excise Ave, 116, Ontario, CA 91761 | 2019-07-15 |
1265902845 | Stephanie Escalante | Behavior Technician | 1801 S. Excise Ave. #116, Ontario, CA 91761 | 2018-11-27 |
1801395595 | Optimum Bio Lab Inc | Clinical Medical Laboratory | 1910 S Archibald Ave #d, Ontario, CA 91761 | 2018-02-07 |
1871010033 | Evelyn Esther Martinez | Case Manager/Care Coordinator | 1556 S. Sultana Ave., Ontario, CA 91761 | 2017-08-28 |
1750812525 | Building Bridges Christian Counseling | Marriage & Family Therapist | 3200 Guasti Road, Suite 100, Ontario, CA 91761 | 2017-03-23 |
1659829513 | Gregory J Musselman | Physician Assistant | 3550 E Philadelphia St Ste 150, Ontario, CA 91761 | 2016-09-20 |
1700332327 | Ramon Cardenas | Registered Nurse | 721 E. Banyan St., Ontario, CA 91761 | 2016-09-01 |
1023565660 | Breanna Gonzalez | Occupational Therapist | 3449 S. Wrangler Pl., Ontario, CA 91761 | 2016-09-01 |
1326491507 | Sasha Khawaja | Specialist/Technologist | 1500 So. Haven Ave, Ste 190, Ontario, CA 91761 | 2016-07-22 |
Find all providers in zip 91761 |
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 |
---|---|---|---|---|
1154792570 | Prxp of Ca LLC | Pharmacy | 4345 E Lowell St, Suites C and D, Ontario, CA 91761-2222 | 2015-10-12 |
1669513529 | San Antonio Infusion Pharmacy | Pharmacy | 105 W B St, Ontario, CA 91762-3502 | 2007-02-12 |
1033203385 | Gemmel Pharmacy, Inc. | Pharmacy | 143 N Euclid Ave, Ontario, CA 91762-3510 | 2006-10-03 |
1285737932 | Ohio Cvs Stores LLC | Pharmacy | 1049 W 4th St, Ontario, OH 44906-1945 | 2006-09-07 |
1841234119 | Garfield Beach Cvs LLC | Pharmacy | 2238 S Euclid Ave, Ontario, CA 91762-6503 | 2006-06-16 |
1023493244 | Jmc Pharmacy, Inc | Pharmacy | 2920 Inland Empire Blvd, 112, Ontario, CA 91764-5564 | 2015-07-29 |
1093802514 | Tdsm Inc | Pharmacy | 437 N Euclid Ave, Suite B, Ontario, CA 91762-3456 | 2006-10-06 |
1154422111 | J&j Rx | Pharmacy | 403 W F St, Ontario, CA 91762-3207 | 2006-09-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720689987 | Capsule San Diego LLC | Pharmacy | 1450 Columbia St Ste B, San Diego, CA 92101-3487 | 2020-11-04 |
1023618824 | Ingram's Pharmacy, LLC | Pharmacy | 1115 Union Ave Unit 147-1c, Bakersfield, CA 93307-1050 | 2020-10-29 |
1750981874 | Capsule San Francisco LLC | Pharmacy | 475 University Ave, Palo Alto, CA 94301-1814 | 2020-10-28 |
1447850623 | Sterling Hatteras LLC | Pharmacy | 916 E Cypress Ave Ste 300, Redding, CA 96002-1038 | 2020-10-28 |
1922608454 | Vanessa Ann Marie Rita Pitts | Pharmacy | 26365 Buccaneer Ln, Helendale, CA 92342-7739 | 2020-10-26 |
1205435971 | Rinaldi Pharmacy, Inc. | Pharmacy | 11237 Tampa Ave, Porter Ranch, CA 91326-1610 | 2020-10-22 |
1467051300 | San Dimas Wellness Pharmacy | Pharmacy | 830 W Arrow Hwy Ste 830b, San Dimas, CA 91773-2498 | 2020-10-21 |
1225636889 | Med-plus Pharmacy Inc | Pharmacy | 335 Lindbergh Ave, Livermore, CA 94551-9291 | 2020-10-15 |
1689271066 | Innova Pharmacy Iv | Pharmacy | 4815 Watt Ave Ste B101, North Highlands, CA 95660-5108 | 2020-10-08 |
1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
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.