KAISER PERMANENTE (NPI# 1710426739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710426739 |
| Entity Type | Organization |
| Organization Name | KAISER PERMANENTE |
| Practice Address |
1183 E Foothill Blvd Upland CA 91786-4079 |
| Practice Telephone | 9093677080 |
| Practice Fax Number | 9093677077 |
| Mailing Telephone | 9093677080 |
| Mailing Fax Number | 9093677077 |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-02-23 |
| Authorized Official Name | EUGENIA ELLIS (PHARMACY SUPERVISOR) |
| Authorized Official Telephone | 9093677080 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
36910 | CA | Ambulatory Health Care Facilities |
| 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 |
1183 E FOOTHILL BLVD |
| City | UPLAND |
| State | CA |
| Zip Code | 91786-4079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700866894 | Max Vinco Soliguen | Pediatrics | 1183 E Foothill Blvd, Suite 230, Upland, CA 91786 | 2006-01-17 |
| 1114467883 | Kaiser Permanente Pharmacy | Health Maintenance Organization | 1183 E Foothill Blvd, First Floor, Upland, CA 91786-4079 | 2017-03-01 |
| 1528456050 | Toni Marie Reyes | Nurse Practitioner | 1183 E Foothill Blvd, Ste 135, Upland, CA 91786-4079 | 2015-01-06 |
| 1922324086 | Centrelake Medial Group Inc | Radiology | 1183 E Foothill Blvd, Suite 235, Upland, CA 91786-4079 | 2010-04-14 |
| 1801039458 | Nadia Khan | Family Medicine | 1183 E Foothill Blvd, Upland, CA 91786-4079 | 2009-04-13 |
| 1528250412 | Smileneeds Dental | Dentist | 1183 E Foothill Blvd, Suite150, Upland, CA 91786-4079 | 2007-08-14 |
| 1407972490 | Rubina Aqeel | Internal Medicine | 1183 E Foothill Blvd, Suite 260, Upland, CA 91786-4049 | 2007-03-21 |
| 1912052978 | Jason S Lee Dds Inc | Dentist | 1183 E Foothill Blvd, Unit 240, Upland, CA 91786-4049 | 2007-01-23 |
| 1528112257 | Jason S Lee | Dentist | 1183 E Foothill Blvd, Unit 240, Upland, CA 91786-4049 | 2007-01-22 |
| 1942352703 | Fiona C Chan | Dentist | 1183 E Foothill Blvd, Unit 240, Upland, CA 91786-4049 | 2007-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
| 1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
| 1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
| 1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
| Find all providers in zip 91786 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366797227 | Our Family Healthcare, LLC | Clinic/Center | 485 E Foothill Blvd, Suite 357, Upland, CA 91786-3987 | 2012-07-17 |
| 1164634242 | Footsteps Into Health, Inc | Clinic/Center | 268 Mcarthur Way, Upland, CA 91786 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658699 | Perennial Medical Services Inc | Clinic/Center | 810 Manhattan Ave, Hermosa Beach, CA 90254-4150 | 2020-10-27 |
| 1841899085 | Eye Glass Specialists Inc. | Clinic/Center | 213 E Foothill Blvd, Rialto, CA 92376-5159 | 2020-10-20 |
| 1134736705 | Boston Medical Center Inc | Clinic/Center | 960 E Green St Ste 101, Pasadena, CA 91106-2401 | 2020-09-28 |
| 1215541628 | Pacific Care II | Clinic/Center | 1024 Jayhawk Way, Modesto, CA 95358-6714 | 2020-09-02 |
| 1316557358 | Breathe Thermae, Inc. | Clinic/Center | 200 S Cahuilla Rd, Palm Springs, CA 92262-6334 | 2020-08-04 |
| 1497363212 | Joana Anjeh Tala | Clinic/Center | 2951 Hampshire Cir, Corona, CA 92879-6133 | 2020-07-17 |
| 1376160580 | Beyond Practice, Inc. | Clinic/Center | 300 W Ocean Blvd Apt 6114, Long Beach, CA 90802-8029 | 2020-07-03 |
| 1205452315 | Affection Healthcare LLC | Clinic/Center | 1641 North Ripon Road, Ripon, CA 95366 | 2020-06-24 |
| 1467074963 | Onclick Healthcare Incorporated | Clinic/Center | 2625 Townsgate Rd Ste 330, Westlake Village, CA 91361-5749 | 2020-05-07 |
| 1811517832 | D.e. Garrison, D.o., Inc. | Clinic/Center | 3209 Esplanade Ste 120, Chico, CA 95973-0154 | 2020-04-20 |
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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.