KAISER FOUNDATION HEALTH PLAN INC (NPI# 1659428977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659428977 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN INC |
| Other Organization Name | KAISER PERMANENTE PHARMACY #113 |
| Practice Address |
3900 E Pacific Coast Hwy Long Beach CA 90804-2013 |
| Practice Telephone | 8663528633 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-05-06 |
| Authorized Official Name | ALAN KIYOHARA (VP PHARMACY OPERATIONS SVCS, SCAL) |
| Authorized Official Telephone | 5626583510 |
| Is Organization Subpart | Y |
| Parent Organization Name | KAISER FOUNDATION HEALTH PLAN INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY37029 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1659428977 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0564698 | 01 |
| Other Name | Type Code |
|---|---|
| KAISER PERMANENTE PHARMACY #113 | Doing Business As Name - Organization |
| KAISER PERMANENTE PHARMACY #113 | Other Name - Individual/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 |
3900 E PACIFIC COAST HWY |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90804-2013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396258133 | Crystal Robin Miskin | Physical Therapist | 3900 E Pacific Coast Hwy, Long Beach, CA 90804-2013 | 2017-11-15 |
| 1649710500 | Catherine Salvatori | Pharmacist | 3900 E Pacific Coast Hwy, Long Beach, CA 90804-2013 | 2017-02-27 |
| 1730629643 | Robert Fon Lee | Pharmacist | 3900 E Pacific Coast Hwy, Long Beach, CA 90804-2013 | 2017-02-27 |
| 1770022782 | Wayne Lam | Pharmacist | 3900 E Pacific Coast Hwy, Long Beach, CA 90804-2013 | 2017-02-23 |
| 1285173310 | Katie Vuong | Pharmacist | 3900 E Pacific Coast Hwy, Long Beach, CA 90804-2013 | 2017-02-22 |
| 1487033783 | Kevin Patrick Maher | Psychiatry & Neurology | 3900 E Pacific Coast Hwy, Long Beach, CA 90804-2013 | 2015-05-20 |
| 1235573650 | Alison Noelle Hench-saldana | Family Medicine | 3900 E Pacific Coast Hwy, Long Beach, CA 90804-2013 | 2013-04-29 |
| 1093067860 | Steven Lee Farr | Family Medicine | 3900 E Pacific Coast Hwy, Long Beach, CA 90804-2013 | 2012-10-04 |
| 1659629905 | Jenny Phung-payne | Family Medicine | 3900 E Pacific Coast Hwy, Long Beach, CA 90804-2013 | 2012-08-16 |
| 1417222878 | Patricia V. Romero | Family Medicine | 3900 E Pacific Coast Hwy, Long Beach, CA 90804-2013 | 2012-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616673 | Exporter Medical LLC | Durable Medical Equipment & Medical Supplies | 2990 E. Pacific Coast Hwy., Suite B, Long Beach, CA 90804 | 2020-07-08 |
| 1700436094 | Magdalema Ballesteros-reynolds | Technician | 844 Ohio Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1093365447 | Edelmira D Sanchez | Technician | 837 Bennett Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1164980165 | Carlton Fortenberry | Behavior Technician | 775 Obispo Ave., Unit 1, Long Beach, CA 90804 | 2019-03-08 |
| 1427522812 | Western Dental Services, Inc. | Dentist | 2306 E 7th Street, Long Beach, CA 90804 | 2019-01-18 |
| 1124557657 | Keav Siv Khov | Social Worker | 4510 East Pacific Coast Highway, Suite 600, Long Beach, CA 90804 | 2017-06-08 |
| 1265966576 | Kensie Hoag | Social Worker | 4510 E PCh, Suite 305, Long Beach, CA 90804 | 2017-04-13 |
| 1528424389 | Rem Pacific Sleep Center, Inc. | Specialist/Technologist | 2990 E. Pacific Coast Hwy, Suite A, Long Beach, CA 90804 | 2016-01-10 |
| 1417326935 | Kelli Ann Carlson | Student in an Organized Health Care Education/Training Program | 2025 E. 7th Street, Long Beach, CA 90804 | 2015-09-15 |
| 1487059010 | Kenenth K. Lee, D.d.s., Inc. | Preferred Provider Organization | 4755 E. Anaheim St., Long Beach, CA 90804 | 2014-10-24 |
| Find all providers in zip 90804 | ||||
| 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 |
|---|---|---|---|---|
| 1609473438 | Long Beach Memorial Medical | Pharmacy | 2701 Atlantic Ave Ste 100, Long Beach, CA 90806-2701 | 2020-10-05 |
| 1063048197 | Peninsula Pharmacies Inc Long Beach Pharmacy Annex | Pharmacy | 110 Oregon Ave S, Long Beach, WA 98631 | 2020-03-20 |
| 1134786437 | Soung Monh Pharmacy Corporation | Pharmacy | 1050 Atlantic Avenue, Long Beach, CA 90813-3403 | 2019-05-22 |
| 1609345925 | Belmont Rx LLC | Pharmacy | 6583 Atlantic Ave., 1st Floor Ste 109, Long Beach, CA 90805 | 2018-11-15 |
| 1972083459 | Pacific Avenue Pharmacy Inc | Pharmacy | 2777 Pacific Ave Ste A, Long Beach, CA 90806-2626 | 2018-08-15 |
| 1871016972 | Walgreen Co | Pharmacy | 200 W Railroad St Ste B, Long Beach, MS 39560-4517 | 2017-07-20 |
| 1730611559 | Good Life Pharmacy Inc | Pharmacy | 2633 Atlantic Ave, Long Beach, CA 90806-2710 | 2017-03-30 |
| 1790152114 | Aaa Golden Pharmacy Inc | Pharmacy | 1750 Pacific Ave, Long Beach, CA 90813-1715 | 2015-09-02 |
| 1821494576 | La Drugs Inc | Pharmacy | 4233 Atlantic Ave, Long Beach, CA 90807 | 2014-11-07 |
| 1811392418 | Galaxy Pharmacy Inc | Pharmacy | 1295 E Anaheim St, Long Beach, CA 90813-3709 | 2014-10-27 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90804 |
Please comment or provide details below to improve the information on KAISER FOUNDATION HEALTH PLAN INC.
| 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.