KAISER FOUNDATION HEALTH PLAN INC (NPI# 1598813321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598813321 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN INC |
| Other Organization Name | KAISER PERMANENTE PHARMACY |
| Practice Address |
3955 Bonita Rd Bonita CA 91902-1230 |
| Practice Telephone | 6194096405 |
| Practice Fax Number | 6194096410 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2012-04-23 |
| 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 |
PHY20611 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA206110 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0569307 | 01 |
| Other Name | Type Code |
|---|---|
| KAISER PERMANENTE PHARMACY | 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 |
3955 BONITA RD |
| City | BONITA |
| State | CA |
| Zip Code | 91902-1230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467423525 | Juan Carlos Rodriguez | Pediatrics | 3955 Bonita Rd, Building E, Bonita, CA 91902-1230 | 2006-01-27 |
| 1891157582 | Mitchell Mendez | Family Medicine | 3955 Bonita Rd, Bonita, CA 91902-1230 | 2016-03-22 |
| 1639593320 | Melad Sada | Pharmacist | 3955 Bonita Rd, Bonita, CA 91902-1230 | 2014-02-14 |
| 1982043279 | Ngan Hong Nguyen | Family Medicine | 3955 Bonita Rd, Familyn Medicine Department, Bonita, CA 91902-1230 | 2013-06-19 |
| 1649512310 | Richard Stephen Lebano | Family Medicine | 3955 Bonita Rd, Bonita, CA 91902-1230 | 2013-03-20 |
| 1255623377 | Joanne P Mo | Family Medicine | 3955 Bonita Rd, Bonita, CA 91902-1230 | 2011-05-08 |
| 1437441771 | Christina Mancilla Jenkins | Pharmacist | 3955 Bonita Rd, Bonita, CA 91902-1230 | 2011-05-04 |
| 1447429873 | Wonja Paik Kang | Pharmacist | 3955 Bonita Rd, Bonita, CA 91902-1230 | 2008-02-29 |
| 1598934663 | Andrew Jess Morales | Pharmacist | 3955 Bonita Rd, Bonita, CA 91902-1230 | 2008-02-22 |
| 1568630739 | Duncan Jay Woo | Pharmacist | 3955 Bonita Rd, Bonita, CA 91902-1230 | 2008-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437693306 | A Caring Touch Home Care LLC | Home Health | 4045 Bonita Rd, 207, Bonita, CA 91902 | 2016-12-13 |
| 1578882494 | Sandhya Hegde Dds, Inc | Dentist | 4424 Bonita Road, Bonita, CA 91902 | 2010-05-18 |
| 1861684680 | Jennifer E Sims Dds Inc | Dentist | 5080 Bonita Road, Suite N, Bonita, CA 91902 | 2007-08-15 |
| 1669528543 | Dora A. Sanchez | Marriage & Family Therapist | 4045 Bonita Rd Ste 108, Bonita, CA 91902 | 2007-01-25 |
| 1528126190 | Bonita Cardiovascular Med Grp Inc | Surgery | 3916 Palm Drive, Bonita, CA 91902 | 2006-12-05 |
| 1265447668 | Lilinda Cruz Enano | Dentist | 4144 Bonita Rd, Bonita, CA 91902 | 2006-07-31 |
| 1548505803 | Marisa Cristina Ludden | Dentist | 5050 Bonita Rd, Bonita, CA 91902 | 2012-11-27 |
| 1629255021 | Julie K Laffen | Acupuncturist | 4514 Bonita Rd, Bonita, CA 91902 | 2008-01-28 |
| 1366563967 | Kristi Lee | Pharmacist | 4348 Bonita Road, Bonita, CA 91902 | 2007-04-02 |
| 1306191622 | Karen V. Houston | Dental Hygienist | 3340 Bonita Mesa Rd, Bonita, CA 91902-1021 | 2012-07-24 |
| Find all providers in zip 91902 | ||||
| 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 |
|---|---|---|---|---|
| 1891193470 | Bonita Pharmacy | Pharmacy | 4190 Bonita Rd Ste 101, Bonita, CA 91902-1330 | 2014-12-12 |
| 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.