KAISER PERMANENTE (NPI# 1568504587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568504587 |
| Entity Type | Organization |
| Organization Name | KAISER PERMANENTE |
| Practice Address |
4785 N 1st St Fresno CA 93726-0513 |
| Mailing Address |
8296 N Del Mar Ave Fresno CA 93711-6017 |
| Practice Telephone | 5594484555 |
| Mailing Telephone | 5594394824 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2008-10-07 |
| Authorized Official Name | MS. LORI L. SMITH (STAFF NURSE II) |
| Authorized Official Telephone | 5594485410 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
500381 | 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 |
4785 N 1ST ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93726-0513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275515306 | Dana George Determan | Nurse Practitioner | 4785 N 1st St, 1st Floor, Fresno, CA 93726-0513 | 2005-11-15 |
| 1174094932 | Adriana Aida Gomez | Marriage & Family Therapist | 4785 N 1st St, Fresno, CA 93726-0513 | 2018-12-05 |
| 1821521170 | Joan Mettler | Pharmacist | 4785 N 1st St, Fresno, CA 93726-0513 | 2017-04-04 |
| 1043743321 | Varinder Sangha | Pharmacist | 4785 N 1st St, Fresno, CA 93726-0513 | 2017-04-04 |
| 1407254618 | Elizabeth White | Marriage & Family Therapist | 4785 N 1st St, Fresno, CA 93726-0513 | 2014-12-22 |
| 1013336189 | Denise Der Knudson | Pediatrics | 4785 N 1st St, Fresno, CA 93726-0513 | 2014-04-15 |
| 1013344233 | Natalie Cheri Bennett | Counselor | 4785 N 1st St, Fresno, CA 93726 | 2013-10-02 |
| 1952749343 | David Alanis | Marriage & Family Therapist | 4785 N 1st St, Fresno, CA 93726-0500 | 2013-06-07 |
| 1295007748 | Christopher William Bates | Social Worker | 4785 N 1st St, Fresno, CA 93726-0513 | 2012-01-30 |
| 1497052088 | Rolando Valero | Counselor | 4785 N 1st St, Fresno, CA 93726 | 2011-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528520814 | Tania Grijalva Miranda | Behavior Technician | 4910 E. Ashland Ave, Fresno, CA 93726 | 2019-04-04 |
| 1790249894 | Lags Spine and Sportscare Medical Centers, Inc. | Psychologist | 3751 E Shields Avenue, Fresno, CA 93726 | 2019-01-23 |
| 1013481100 | Jill A Perricone | Respiratory Therapist, Registered | 4785 N First St, Fresno, CA 93726 | 2019-01-11 |
| 1285108399 | Leann Lokelani Benton | Respiratory Therapist, Registered | 4785 N. First St, Fresno, CA 93726 | 2019-01-11 |
| 1548745912 | Alina Gonzalez | Counselor | 4440 N. First St., Fresno, CA 93726 | 2018-10-01 |
| 1336622067 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 3751 E Shields Ave, Fresno, CA 93726 | 2018-09-10 |
| 1730676206 | Joanne K Groves | Counselor | 3636 N. First Street, St. 123, Fresno, CA 93726 | 2018-04-19 |
| 1356865679 | Fresno Mental Psychological Health Services, P.C. | Clinic/Center | 4021 N Fresno Street, Ste. 101, Fresno, CA 93726 | 2017-07-28 |
| 1205358819 | Jetinder Singh Ghag | Counselor | 3636 N.first St # 135 and 154, Fresno, CA 93726 | 2017-07-14 |
| 1164897328 | Karam Um Dds Inc | Dentist | 4747 N. First St. #174, Fresno, CA 93726 | 2015-12-14 |
| Find all providers in zip 93726 | ||||
| Taxonomy Code | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447683826 | Childrens Hospital Central California | General Acute Care Hospital | 4080 N Wilson Ave, Fresno, CA 93704-4142 | 2013-08-20 |
| 1831491976 | Ucsf Pediatrics | General Acute Care Hospital | 9263 N Saybrook Dr Apt 225, Fresno, CA 93720-0823 | 2010-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174061279 | Promoj,inc | General Acute Care Hospital | 1254 W 8th St Apt 2, San Pedro, CA 90731-2944 | 2017-02-09 |
| 1699223628 | Ucsf Children's Hospital | General Acute Care Hospital | 568 Louis Dr, Novato, CA 94945-3337 | 2016-09-19 |
| 1528433885 | Michael French Dds Dental Corporation | General Acute Care Hospital | 800 Morningstar Dr, Sonora, CA 95370 | 2015-12-11 |
| 1255717377 | Ucsd Department of Pediatrics | General Acute Care Hospital | 7910 Forst St, Suite 100, San Diego, CA 92123 | 2015-07-31 |
| 1285012690 | Ucsf Pediatric Rheumatology Department | General Acute Care Hospital | 755 Ohlone Ave Apt 788, Albany, CA 94706-1967 | 2015-05-18 |
| 1942691506 | Sudhir Patel Md,. Inc. | General Acute Care Hospital | 12004 Hurst Park Dr, Bakersfield, CA 93311-8572 | 2015-02-17 |
| 1528468287 | Rite Aid | General Acute Care Hospital | 294 W Palo Alto Ave, Clovis, CA 93612-0285 | 2014-09-01 |
| 1942618046 | Christine Van Woudenberg | General Acute Care Hospital | 4602 W Wren Ave, Visalia, CA 93291-9381 | 2014-08-01 |
| 1366866345 | Loma Linda University Children's Hospital | General Acute Care Hospital | 11234 Anderson St Rm 1150, Loma Linda, CA 92354-2804 | 2014-02-11 |
| 1629490057 | Anita Marzonie | General Acute Care Hospital | 4650 W Sunset Blvd # Ms 36, Los Angeles, CA 90027-6062 | 2014-01-21 |
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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.