KAISER PERMANENTE (NPI# 1720422199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720422199 |
| Entity Type | Organization |
| Organization Name | KAISER PERMANENTE |
| Practice Address |
7373 West Ln Stockton CA 95210-3377 |
| Practice Telephone | 2094765445 |
| Practice Fax Number | 2094763528 |
| Mailing Telephone | 2094765445 |
| Mailing Fax Number | 2094763528 |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |
| Authorized Official Name | MRS. ERIN SHURTLEFF (MANAGER) |
| Authorized Official Telephone | 2094763904 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | LCS29352 | CA | Managed Care Organizations |
| 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 |
7373 WEST LN |
| City | STOCKTON |
| State | CA |
| Zip Code | 95210-3377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194720144 | Blaine Christopher Van Ausdeln | Nurse Practitioner | 7373 West Ln, Stockton, CA 95210-3377 | 2005-06-16 |
| 1093314296 | Kim Aristizabal | Respiratory Therapist, Certified | 7373 West Ln, Stockton, CA 95210-3377 | 2020-10-20 |
| 1124632781 | Jovana Danielle Mercado | Pharmacist | 7373 West Ln, Stockton, CA 95210-3377 | 2020-09-01 |
| 1396356473 | Sophia Han | Physical Therapist | 7373 West Ln, Stockton, CA 95210-3377 | 2020-08-12 |
| 1639797962 | Jill Epperson | Respiratory Therapist, Registered | 7373 West Ln, Stockton, CA 95210-3377 | 2020-07-13 |
| 1508407453 | Emilee Kay Hansen | Marriage & Family Therapist | 7373 West Ln, Stockton, CA 95210-3377 | 2019-10-02 |
| 1972155968 | Kathy Quach | Pharmacist | 7373 West Ln, Stockton, CA 95210-3377 | 2019-07-10 |
| 1669930350 | Nishant Deo | Pharmacist | 7373 West Ln, Stockton, CA 95210-3377 | 2019-03-12 |
| 1366909376 | Bridgett Denise Smith | Respiratory Therapist, Registered | 7373 West Ln, Stockton, CA 95210-3377 | 2019-02-26 |
| 1124501994 | Kathryn E Deamer | Physical Therapist | 7373 West Ln, Stockton, CA 95210-3377 | 2018-09-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1043866692 | Alexis Thomasson | Behavior Technician | 7109 Danny Drive, Stockton, CA 95210 | 2019-08-09 |
| 1821651324 | Maria Guadalupe Toledo | Lactation Consultant, Non-RN | 7912 Hammer Lane, Stockton, CA 95210 | 2019-04-19 |
| 1508226440 | Active Life Adult Day Care, Inc. | Clinic/Center | 7209 Tam O'shanter Dr., Stockton, CA 95210 | 2016-03-04 |
| 1548631260 | Rachel Standley | Substance Abuse Rehabilitation Facility | 8017 El Cajon St, Stockton, CA 95210 | 2015-10-08 |
| 1225435308 | Active Life Medical Produtcs Inc | Durable Medical Equipment & Medical Supplies | 611 W Grider Way, Stockton, CA 95210 | 2014-12-04 |
| 1942633318 | Kimberly Ruiz Dizon | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210 | 2013-08-20 |
| 1285920983 | Supplemental Health Care | Preferred Provider Organization | 8425 Kiltie Wy, Stockton, CA 95210 | 2011-06-22 |
| 1770807901 | Stockton Medical Weight Loss Center Inc | Internal Medicine | 1801 E. March Lane, Suite 400d, Stockton, CA 95210 | 2010-03-17 |
| 1699911412 | Pratap Krishna Anne | Pharmacist | 1801 E.march Ln, Suite:b280, Bjrx, Stockton, CA 95210 | 2008-12-29 |
| Find all providers in zip 95210 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720359037 | Dr Guido Abellera Md | Health Maintenance Organization | 228 Claremont Ct, Stockton, CA 95207-5611 | 2012-01-18 |
| 1912115569 | Omni Ipa Medical Group, Inc. | Health Maintenance Organization | 2609 E. Hammer Lane, Stockton, CA 95210 | 2007-05-18 |
| 1669542510 | Kaiser Permanente | Health Maintenance Organization | 7375 West Lane, Stockton, CA 95210 | 2006-11-08 |
| 1558619270 | San Joaquin County | Health Maintenance Organization | 1414 N California St, Stockton, CA 95202-1515 | 2012-08-28 |
| 1457667156 | Community Re-entry Program | Health Maintenance Organization | 3601 Pacific Ave, Stockton, CA 95211 | 2010-08-19 |
| 1437465119 | Community Re-organization Program | Health Maintenance Organization | 3601 Pacific Ave, Stockton, CA 95211 | 2010-08-19 |
| 1730243940 | Bret Espil | Health Maintenance Organization | 7373 West Ln, Stockton, CA 95210-3377 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677760 | Health and Heart | Health Maintenance Organization | 333 W Bastanchury Rd Ste 110, Fullerton, CA 92835-3433 | 2020-10-20 |
| 1144837139 | Essential California Ipa Inc. | Health Maintenance Organization | 1800 Studebaker Rd., 100, Cerritos, CA 90703 | 2020-09-24 |
| 1649881194 | Health Net Community Solutions Inc | Health Maintenance Organization | 21271 Burbank Blvd, Woodland Hills, CA 91367-6667 | 2020-08-10 |
| 1447868377 | Auxilium Health Network, Inc. | Health Maintenance Organization | 18000 Studebaker Dr, Cerritos, CA 90703 | 2020-07-16 |
| 1154939098 | Absolute Medical Partners, A Professional Medical Corporation | Health Maintenance Organization | 18000 Studebaker Rd., Ste 100, Cerritos, CA 90703 | 2020-07-16 |
| 1700494606 | Rapha Ipa, Inc. | Health Maintenance Organization | 1010 Crenshaw Blvd Ste 200, Torrance, CA 90501-2058 | 2020-07-16 |
| 1548883788 | Careplan Ipa, Inc | Health Maintenance Organization | 18000 Studebaker Road, Suite 100, Cerritos, CA 90703-7929 | 2020-05-22 |
| 1982227450 | Zeev Neumeier | Health Maintenance Organization | 1691 Ward St, Berkeley, CA 94703-1827 | 2020-05-19 |
| 1669009247 | Doctor's Managed Ipa, Inc | Health Maintenance Organization | 4959 Palo Verde St Ste 101b, Montclair, CA 91763-2331 | 2020-03-24 |
| 1710512298 | United Physicians Association Inc | Health Maintenance Organization | 14803 Badlona Dr, La Mirada, CA 90638-3834 | 2020-03-05 |
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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.