KAISER FOUNDATION HOSPITALS (NPI# 1629126412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629126412 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HOSPITALS |
| Other Organization Name | KAISER FDN HSP PHY 21A |
| Practice Address |
975 Sereno Drive Hosp Bldg Vallejo CA 94589 |
| Mailing Address |
1800 Harrison St Fl 13 Oakland CA 94612-3466 |
| Practice Telephone | 7076512072 |
| Practice Fax Number | 7076512073 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | KATHRYN RENOUARD BROWN (VP PHARMACY OPERATIONS AND SERVICES) |
| Authorized Official Telephone | 5106252363 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
HSP40760 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0552643 | 01 | |
| CA | PHB407600 | 05 |
| Other Name | Type Code |
|---|---|
| KAISER FDN HSP PHY 21A | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609496215 | Kaiser Foundation Hospitals | Pharmacy | 274 International Cir Fl 1 Rm 104, San Jose, CA 95119 | 2020-04-23 |
| 1740822766 | Kaiser Foundation Hospitals | Pharmacy | 18600 S Figueroa St Fl-1, Rm S1085a, Gardena, CA 90248-4505 | 2019-10-10 |
| 1770045395 | Kaiser Foundation Hospitals | Pharmacy | 3100 Dublin Blvd Fl 2, Rm 2353, Dublin, CA 94568-4363 | 2019-04-02 |
| 1619432598 | Kaiser Foundation Hospitals | Clinic/Center | 27200 Iris Avenue Mob 2, Moreno Valley, CA 92555-4803 | 2019-02-05 |
| 1134612468 | Kaiser Foundation Hospitals | Clinic/Center | 1721 Technology Dr Ste 245, San Jose, CA 95110-1305 | 2018-06-12 |
| 1265888630 | Kaiser Foundation Hospitals | Pharmacy | 9521 Dalen St Rm R, Downey, CA 90242-4847 | 2016-05-04 |
| 1891048807 | Kaiser Foundation Hospitals | General Acute Care Hospital | 2875 Nw Stucki Ave., Hillsboro, OR 97124-5806 | 2012-10-16 |
| 1689940991 | Kaiser Foundation Hospitals | Pharmacy | 2295 S Vineyard Ave Bldg H, Ontario, CA 91761-7925 | 2012-03-30 |
| 1497061089 | Kaiser Foundation Hospitals | Pharmacy | 9400 Rosecrans Ave Fl 2, Bellflower, CA 90706-2246 | 2010-08-20 |
| 1962724856 | Kaiser Foundation Hospitals | Hospice Care, Community Based | 17542 East 17th Street, Suite 300, Tustin, CA 92780-1960 | 2010-02-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | KAISER FOUNDATION HOSPITALS | One Kaiser Plaza, Oakland, CA 94612 |
| New York State Corporations | KAISER FOUNDATION HOSPITALS | 80 State Street, Albany, New York 12207 |
| Oregon Corporations, Companies and Business Names | KAISER FOUNDATION HOSPITALS | One Kaiser Plaza, Oakland, CA 94612 |
| Washington State Corporations | KAISER FOUNDATION HOSPITALS | One Kaiser Plaza, Oakland, CA 94612 |
| North Carolina Corporations | Kaiser Foundation Hospitals | 2626 Glenwood Avenue, Suite 550, Raleigh, NC 27608 |
| Massachusetts Corporations | KAISER FOUNDATION HOSPITALS | One Kaiser Plaza, Oakland, CA 94612 |
| Virginia Business Entities | KAISER FOUNDATION HOSPITALS | 1 Kaiser Plz, Oakland, California 94612-3610 |
| Connecticut Business Registrations | KAISER FOUNDATION HOSPITALS, A CALIFORNIA CORPORATION | One Kaiser Plaza, Oakland, CA 94612 |
| Street Address |
975 SERENO DRIVE HOSP BLDG |
| City | VALLEJO |
| State | CA |
| Zip Code | 94589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053469890 | Kaiser Foundation Hospitals | Pharmacy | 975 Sereno Drive Hosp Bldg, Vallejo, CA 94589 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366903478 | Nabreea Dianna Moore | Behavioral Analyst | 1300 Donner Pass Rd, Vallejo, CA 94589 | 2019-03-29 |
| 1588131221 | Alejandra Hernandez De Leon | Behavioral Analyst | 151 Mimosa Ct, Vallejo, CA 94589 | 2018-10-31 |
| 1821588948 | Angela Ancheta Laco | Behavioral Analyst | 71 Los Cerritos Dr, Vallejo, CA 94589 | 2018-05-14 |
| 1851750764 | Shauntell Hudson | Counselor | 112 Basalt Dr, Vallejo, CA 94589 | 2016-02-19 |
| 1982997680 | Shuttle California Transit, LLC | Private Vehicle | 322 Lemon St, Vallejo, CA 94589 | 2011-05-27 |
| 1588813455 | Shay Teresa Loftus | Psychologist | 1761 Broadway, Suite 100, Vallejo, CA 94589 | 2008-09-16 |
| 1063629236 | Michael Francis Edziak | Dentist | 150 Hospital Dr., Vallejo, CA 94589 | 2007-05-17 |
| 1346454220 | Diljit Bahuleyan Karayil | Internal Medicine | 975 Sereno Drive, Medical Office- 8, Kaiser Permanente Medical Center, Vallejo, CA 94589 | 2007-05-09 |
| 1174745525 | Thomas Welch Gross | Emergency Medicine | Emergency Dept., Kaiser Permanente Medical Center, 675 Sereno Dr, Vallejo, CA 94589 | 2007-05-03 |
| 1639207756 | James D Prigmore | Dentist | 1620 Valle Vista Ave, Ste 100, Vallejo, CA 94589 | 2007-03-01 |
| Find all providers in zip 94589 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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 |
|---|---|---|---|---|
| 1457906745 | Corrections and Rehabilitation | Pharmacy | 5th and Western Ave, Module M, Room #104, Norco, CA 92860 | 2019-08-05 |
| 1982169694 | Vikki Lam | Pharmacy | 757 Westwood Plz # B-504j, Los Angeles, CA 90095-8358 | 2019-02-06 |
| 1760827414 | Cedars-sinai Medical Center | Pharmacy | 127 S San Vicente Blvd Ste 2403, Los Angeles, CA 90048-3311 | 2013-05-08 |
| 1508105354 | Sutter Central Valley Hospitals | Pharmacy | 1420 N. Tracy Blvd., Tracy, CA 95376 | 2013-02-13 |
| 1649576364 | Wade J Dahlberg Sr | Pharmacy | 2697 Lavery Ct Ste 7, Newbury Park, CA 91320-1587 | 2011-01-27 |
| 1871898304 | Corrections and Rehabilitation | Pharmacy | 5100 O'byrnes Ferry Road, Attn: Pharmacy, Jamestown, CA 95327 | 2011-01-13 |
| 1437469202 | Institutional Pharmacy Solutions LLC | Pharmacy | 6520 N Irwindale Ave Ste 228, Irwindale, CA 91702-2867 | 2010-10-14 |
| 1851593560 | Belville Enterprises Inc | Pharmacy | 10140 Barnes Canyon Rd, San Diego, CA 92121-2724 | 2007-06-04 |
| 1306057229 | Detention's Facility Pharmacy | Pharmacy | 8525 Gibbs Dr Ste 101, San Diego, CA 92123-1758 | 2007-05-24 |
| 1407992019 | San Joaquin County | Pharmacy | 7000 Michael Canlis Way, French Camp, CA 95231-9781 | 2007-01-30 |
| 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.