KAISER PERMANENTE (NPI# 1538343132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538343132 |
| Entity Type | Organization |
| Organization Name | KAISER PERMANENTE |
| Practice Address |
4510 Viewridge Ave San Diego CA 92123-1637 |
| Mailing Address |
2302 Walnut St Hays KS 67601-3043 |
| Practice Telephone | 8586944970 |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2007-12-19 |
| Authorized Official Name | MISS JANELLE WILEY (PHYSICAL THERAPY ASSISTANT) |
| Authorized Official Telephone | 9137073898 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 8231 | CA | Hospitals |
| 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 |
| 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 |
| Street Address |
4510 VIEWRIDGE AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-1637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437128584 | Caitlin Klunk | Physical Therapist | 4510 Viewridge Ave, San Diego, CA 92123-1637 | 2006-03-14 |
| 1093354581 | Ashley Osullivan | Physical Therapist | 4510 Viewridge Ave, San Diego, CA 92123-1637 | 2019-12-31 |
| 1700394673 | Naomi Starr | Occupational Therapist | 4510 Viewridge Ave, San Diego, CA 92123-1637 | 2018-01-12 |
| 1104338987 | Lia Montoya | Occupational Therapist | 4510 Viewridge Ave, San Diego, CA 92123-1637 | 2017-11-01 |
| 1659731537 | Libby Motta | Speech-Language Pathologist | 4510 Viewridge Ave, San Diego, CA 92123-1637 | 2016-03-04 |
| 1780040204 | Allen Chan Ng | Physical Therapist | 4510 Viewridge Ave, San Diego, CA 92123-1637 | 2016-01-13 |
| 1922486547 | Vanessa Hernandez | Speech-Language Pathologist | 4510 Viewridge Ave, San Diego, CA 92123-1637 | 2015-05-14 |
| 1245621580 | Arlene Aguilar | Speech-Language Pathologist | 4510 Viewridge Ave, San Diego, CA 92123-1637 | 2015-02-09 |
| 1417364696 | Alana K Kass | Speech-Language Pathologist | 4510 Viewridge Ave, San Diego, CA 92123-1637 | 2014-07-19 |
| 1861807067 | Brandon Morgan Mcclellan | Internal Medicine | 4510 Viewridge Ave, San Diego, CA 92123-1637 | 2014-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
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| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184175374 | Kelly Lynn Memeo | General Acute Care Hospital | 8745 Aero Dr Ste 200, San Diego, CA 92123-1774 | 2016-10-22 |
| 1316392350 | Victor C. Coelho, Md, Inc. | General Acute Care Hospital | 2680 Bellezza Dr, San Diego, CA 92108-4763 | 2016-04-27 |
| 1144680695 | Reid Sasaki Md Inc | General Acute Care Hospital | 5663 Balboa Ave Unit 463, San Diego, CA 92111-2705 | 2016-02-25 |
| 1487028734 | Jfk Memorial Hospital | General Acute Care Hospital | 7717 Dancy Rd, San Diego, CA 92126-3040 | 2015-11-25 |
| 1124369632 | Brandon D Miller | General Acute Care Hospital | 2007 Pelican Hill Rd, San Diego, CA 92139-1152 | 2013-03-07 |
| 1992019020 | Catherine Ubaldo | General Acute Care Hospital | 2089 Chatsworth Blvd Apt 15, San Diego, CA 92107-2736 | 2010-07-30 |
| 1104143643 | Vision Medical Logistics | General Acute Care Hospital | 5555 Magnatron Blvd Ste I, San Diego, CA 92111-1308 | 2010-04-23 |
| 1891017729 | Uc San Diego Department of Anesthesiology | General Acute Care Hospital | 200 W Arbor Drive, #0801, Ucsd Dept of Anesthesiology, San Diego, CA 92103 | 2010-02-19 |
| 1275764292 | Ucsd Surgery | General Acute Care Hospital | 1240 India St Unit 914, San Diego, CA 92101-8551 | 2009-08-07 |
| 1982859138 | Cris Louise Rash | General Acute Care Hospital | 8811 Geraldine Ave, San Diego, CA 92123-2912 | 2008-12-01 |
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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.