KAISER FOUNDATION HEALTH PLAN INC (NPI# 1467509778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467509778 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN INC |
| Other Organization Name | KAISER PERMANENTE PHARMACY #214 |
| Practice Address |
3250 Fordham St San Diego CA 92110-5339 |
| Practice Telephone | 6192216275 |
| Practice Fax Number | 6192216489 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2012-04-03 |
| 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 |
PHY32339 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0500442 | 01 | |
| CA | PHA323390 | 05 |
| Other Name | Type Code |
|---|---|
| KAISER PERMANENTE PHARMACY #214 | 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 |
3250 FORDHAM ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92110-5339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598870123 | Caroline Yen-hsueh Lin | Internal Medicine | 3250 Fordham St, San Diego, CA 92110-5339 | 2006-08-21 |
| 1326552092 | Courtney Funk | Social Worker | 3250 Fordham St, San Diego, CA 92110 | 2017-11-16 |
| 1679963490 | Paula Zand | Family Medicine | 3250 Fordham St, San Diego, CA 92110-5339 | 2015-02-01 |
| 1538429527 | Joseph B Tenenbaum | Family Medicine | 3250 Fordham St, San Diego, CA 92110-5339 | 2012-05-23 |
| 1912209743 | Thai Q Nguyen | Pharmacist | 3250 Fordham St, San Diego, San Diego, CA 92110-5339 | 2010-11-30 |
| 1558697334 | Hui-i Emily Hsieh | Internal Medicine | 3250 Fordham St, San Diego, CA 92110-5339 | 2009-10-28 |
| 1568634897 | Darice Diemtrang Nguyen | Pharmacist | 3250 Fordham St, San Diego, CA 92110-5339 | 2008-03-26 |
| 1083885354 | Ethan Van Truong | Pharmacist | 3250 Fordham St, San Diego, CA 92110-5339 | 2008-03-14 |
| 1396936480 | Ellina Bekkerman-donner | Internal Medicine | 3250 Fordham St, San Diego, CA 92110-5339 | 2007-08-05 |
| 1497893887 | Gary Lynn Schroeder | Family Medicine | 3250 Fordham St, San Diego, CA 92110-5339 | 2007-02-01 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 92110 | ||||
| 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] |
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| 1720689987 | Capsule San Diego LLC | Pharmacy | 1450 Columbia St Ste B, San Diego, CA 92101-3487 | 2020-11-04 |
| 1710520960 | Art Fertility LLC | Pharmacy | 11568 Sorrento Valley Rd Ste 12, San Diego, CA 92121-1313 | 2019-10-21 |
| 1043782022 | Med Specialty Sai Inc | Pharmacy | 4153 University Ave Ste B, San Diego, CA 92105-1421 | 2019-01-01 |
| 1184139834 | Eldahmy Wellness Pharmacy Inc. | Pharmacy | 1985 National Ave Ste 1103, San Diego, CA 92113-2155 | 2017-12-04 |
| 1154835973 | Majestic Pharmacy Inc | Pharmacy | 7283 Engineer Rd Ste D, San Diego, CA 92111-1414 | 2017-12-01 |
| 1730634098 | Med Specialty Sai Inc. | Pharmacy | 4153 University Avenue, Suite B, San Diego, CA 92105 | 2016-08-16 |
| 1043675366 | Tu-uyen Le | Pharmacy | 3081-b Clairemont Drive, San Diego, CA 92117 | 2015-12-31 |
| 1285003442 | Walgreens | Pharmacy | 7937 Hendricks Dr, San Diego, CA 92126-3538 | 2015-09-17 |
| 1376933820 | Walgreen Co | Pharmacy | 602 Euclid Ave, San Diego, CA 92114-2207 | 2015-02-04 |
| 1639567605 | Wellnessrx Pharmacy Corporation | Pharmacy | 5971 University Ave, Suite 304, San Diego, CA 92115-6335 | 2014-12-29 |
| Find all providers in SAN DIEGO | ||||
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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.