KAISER PERMANENTE


Address: 395 Hickey Blvd, 1st Floor Pharmacy, Daly City, CA 94015-2770
Phone: 6503015700

KAISER PERMANENTE (NPI# 1730380452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730380452
Entity Type Organization
Organization Name KAISER PERMANENTE
Practice Address 395 Hickey Blvd
1st Floor Pharmacy
Daly City
CA 94015-2770
Practice Telephone 6503015700
Practice Fax Number 6503015780
Mailing Telephone 6503015700
Mailing Fax Number 6503015780
Enumeration Date 2007-05-30
Last Update Date 2020-08-22
Authorized Official Name MS. IRENE PHAN (PHARMACY MANAGER)
Authorized Official Telephone 6503015781
Authorized Official Credential PHARM.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336M0003X Pharmacy
Specialization: Managed Care Organization Pharmacy
PHA46565 CA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDI-CAL PROVIDER NUMBER PHA465650 01

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 395 HICKEY BLVD
1ST FLOOR PHARMACY
City DALY CITY
State CA
Zip Code 94015-2770

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568492445 Kenneth Hsu-ping Chuang Internal Medicine 395 Hickey Blvd, Daly City, CA 94015-2770 2006-07-04
1851910806 Maria Carmen Ines Cabrera Nevalga Dietitian, Registered 395 Hickey Blvd, Daly City, CA 94015-2770 2020-04-09
1952876237 Erica Ho Pharmacist 395 Hickey Blvd, Daly City, CA 94015-2770 2018-10-12
1073020376 Gregory Art Garcia Pharmacist 395 Hickey Blvd, Daly City, CA 94015-2770 2018-01-08
1710408646 Aleyna Sachiko Fong Pharmacist 395 Hickey Blvd, Daly City, CA 94015-2770 2017-06-30
1851824619 Melissa Chinn Pharmacist 395 Hickey Blvd, Daly City, CA 94015-2770 2017-04-09
1861924698 Annie Huang Pharmacist 395 Hickey Blvd, Daly City, CA 94015-2770 2017-03-30
1801328836 Kathy Pui Law Pharmacist 395 Hickey Blvd, 1st Floor Pharmacy, Daly City, CA 94015-2770 2017-03-29
1245762202 Sylvia Lo Pharmacist 395 Hickey Blvd, 1st Floor, Daly City, CA 94015-2770 2017-03-29
1073986030 Bethany Pianca Dietitian, Registered 395 Hickey Blvd, Daly City, CA 94015-2770 2015-11-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881235901 Fast Express Ride Inc Non-emergency Medical Transport (VAN) 381 Westlake Ctr # 292, Daly City, CA 94015 2019-09-30
1598231888 National Vision Inc Technician/Technologist 148a Serramonte Center, Daly City, CA 94015 2018-10-15
1174017313 Glaiza Cecilia S Canares Student in an Organized Health Care Education/Training Program 255 Dennis Drive, Daly City, CA 94015 2018-06-20
1154869477 Noah Bautista Massage Therapist 151 87th St Suite 4, Daly City, CA 94015 2017-02-07
1417387291 Accuquest Hearing Centers Clinic/Center 10 Park Plaza Dr., Daly City, CA 94015 2013-11-15
1801193800 Carol Crane Physical Therapy Assistant 333 Gellert Dr., Suite 150, Supplemental Health Care, Daly City, CA 94015 2011-02-28
1366753808 Emerito Cesar C Nunag Physical Therapy Assistant 595 Clarinada Avenue #2, Daly City, CA 94015 2010-06-30
1356668016 Lauren Rose Hendrick Marriage & Family Therapist 355 Gellert Blvd Suite 280, Daly City, CA 94015 2010-04-21
1205061868 Isabel A. Walsh General Practice 783 Skyline Dr., Daly City, CA 94015 2009-05-26
1790933539 Frank Geoffrey Yeh Dentist 1440 Southgate Ave., Daly City, CA 94015 2008-09-05
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Taxonomy Information

Taxonomy Code 3336M0003X
Grouping Suppliers
Classification Pharmacy
Specialization Managed Care Organization Pharmacy

Taxonomy Definition

A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO’s covered members only.
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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225515778 Arc Cares LLC Pharmacy 330 E Lambert Rd Ste 100, Brea, CA 92821-4100 2018-07-26
1801307590 Track Mtm Pharmacy Inc. Pharmacy 4311 Haines St Apt 1, San Diego, CA 92109-4307 2017-10-20
1467500298 Kaiser Foundation Health Plan Inc Pharmacy 3700 Vaca Valley Pkwy Fl 2, Vacaville, CA 95688-9430 2007-01-08
1689610784 Baiden Group Inc Pharmacy 9160 California City Blvd, California City, CA 93505-2820 2006-06-20
1164912812 Sarika Patel Pharmacy 12254 Bellflower Blvd, Bellflower Blvd, Downey, CA 90242 2018-05-17
1548750482 Jocelyn Tran Pharmacy 12254 Bellflower Blvd, Downey, CA 90242-2804 2018-05-16
1558787002 Apex Care Pharmacy Inc Pharmacy 347 N Main St, Livingston, CA 95334-1504 2014-03-07
1538497235 Community Healthcare Services, Inc. Pharmacy 24747 Redlands Blvd, Suite D, Loma Linda, CA 92354-4026 2009-11-18
1154479905 Kaiser Foundation Hospitals Pharmacy 27400 Hesperian Blvd, Hayward, CA 94545-4235 2007-01-08
1447307772 Kaiser Foundation Hospitals Pharmacy 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 2007-01-05
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Competitor

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City DALY CITY
Zip Code 94015

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Dataset Information

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.

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