KAISER PERMANENTE (NPI# 1831244748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831244748 |
Entity Type | Organization |
Organization Name | KAISER PERMANENTE |
Practice Address |
280 W Macarthur Blvd Oakland CA 94611-5642 |
Mailing Address |
5489 Taft Ave Oakland CA 94618-1501 |
Practice Telephone | 5107527318 |
Enumeration Date | 2007-01-24 |
Last Update Date | 2020-08-22 |
Authorized Official Name | ELLIE EHRENHAFT (SOCIAL WORKER) |
Authorized Official Telephone | 5107527318 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 276400000X | Rehabilitation, Substance Use Disorder Unit | 19778LCSW | CA | Hospital Units |
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 |
280 W MACARTHUR BLVD |
City | OAKLAND |
State | CA |
Zip Code | 94611-5642 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134113236 | Kathleen Elizabeth Weston | Registered Nurse | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2005-09-02 |
1174033062 | Jennifer Dacuma Darden | Registered Nurse | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2017-10-04 |
1487026225 | Sarah De La Cerda | Social Worker | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2015-10-20 |
1548654007 | Tiffany Tsai | Student in an Organized Health Care Education/Training Program | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2015-03-23 |
1720472277 | Bryan Lee | Student in an Organized Health Care Education/Training Program | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2015-03-23 |
1003220310 | Jessica Chang | Pharmacist | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2014-06-13 |
1831502541 | Martha Jane Elster | Student in an Organized Health Care Education/Training Program | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2014-06-10 |
1346650090 | Spencer Christensen | Internal Medicine | 280 W Macarthur Blvd, Oakland, CA 94611 | 2014-05-03 |
1063822138 | Talya Judith Brettler | Student in an Organized Health Care Education/Training Program | 280 W Macarthur Blvd, Rm. #118, Oakland, CA 94611-5642 | 2014-04-29 |
1194145920 | Mala Kokila Krishnamoorthy | Internal Medicine | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2014-04-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
1700389699 | Katie Herron | Student in an Organized Health Care Education/Training Program | 2535 Harrison St., Oakland, CA 94611 | 2018-03-16 |
1861923351 | Hoiwan Cheung | Student in an Organized Health Care Education/Training Program | 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 | 2017-03-25 |
1104377126 | Collin Chan | Pharmacist | 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 | 2016-10-14 |
1912457276 | Madeline Marie Perket | Registered Nurse | 933 Kingston Ave, Piedmont, CA 94611 | 2016-10-11 |
1962959460 | Healing Arts Chiropractic | Chiropractor | 187 40th Street Way, Oakland, CA 94611 | 2016-09-01 |
1033573829 | Diana Murphy | Counselor | 629 Oakland, Oakland, CA 94611 | 2016-04-08 |
1437515483 | Laura Northrup II | Marriage & Family Therapist | 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 | 2016-01-06 |
1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
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Taxonomy Code | 276400000X |
Grouping | Hospital Units |
Classification | Rehabilitation, Substance Use Disorder Unit |
A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |
Notes: Source: Department of Defense Regulation 6010.8-R, Chapter 6. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578764379 | Alameda Health System | Rehabilitation, Substance Use Disorder Unit | 1411 E 31st St, Oakland, CA 94602-1018 | 2007-05-30 |
1043358542 | Alta Bates Summit Medical Center | Rehabilitation, Substance Use Disorder Unit | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2007-02-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245841766 | Los Angeles Centers for Alcohol and Drug Abuse | Rehabilitation, Substance Use Disorder Unit | 305 S Central Ave, Los Angeles, CA 90013-1709 | 2020-08-10 |
1760002299 | Avalon Outpatient Services | Rehabilitation, Substance Use Disorder Unit | 1547 N Avalon Blvd, Wilmington, CA 90744-1552 | 2020-04-24 |
1356960512 | Los Angeles Centers for Alcohol and Drug Abuse | Rehabilitation, Substance Use Disorder Unit | 8919 California Ave, South Gate, CA 90280-3013 | 2020-04-08 |
1144860073 | Starbridge Recovery, LLC | Rehabilitation, Substance Use Disorder Unit | 3943 Fredonia Dr, Los Angeles, CA 90068-1213 | 2020-01-08 |
1376190918 | Psychnp Consultants, Inc | Rehabilitation, Substance Use Disorder Unit | 8500 Crown Prince Ct, Elk Grove, CA 95624-1779 | 2019-08-19 |
1679126247 | Imperial County Behavioral Health Services | Rehabilitation, Substance Use Disorder Unit | 101 Hacienda Dr, Calexico, CA 92231-1889 | 2019-07-22 |
1831653617 | Journey Hillside Tarzana, LLC | Rehabilitation, Substance Use Disorder Unit | 4706 Viviana Dr, Tarzana, CA 91356-5039 | 2019-01-25 |
1205331709 | Recovery Corps Health Group, LLC | Rehabilitation, Substance Use Disorder Unit | 422 N Commonwealth Ave, Los Angeles, CA 90004-2301 | 2018-03-27 |
1124523618 | Recovery Corps, LLC | Rehabilitation, Substance Use Disorder Unit | 424 N Commonwealth Ave, Los Angeles, CA 90004-2301 | 2018-03-27 |
1063929602 | Recovery Corps, LLC | Rehabilitation, Substance Use Disorder Unit | 420 N Commonwealth Ave, Los Angeles, CA 90004-2301 | 2018-01-04 |
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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.