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KAISER PERMANENTE NPI 1083002315


NPI Information

NPI: 1083002315
Provider Name: KAISER PERMANENTE
Classification: Psychiatric Unit - 273R00000X
Entity Type: Organization
Address:
111 SMITH RANCH ROAD
KAISER PERMANENTE
SAN RAFAEL, CA
ZIP 94903
Phone: (415) 444-3522
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KAISER PERMANENTE is a psychiatric unit in San Rafael, CA. The provider is in general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. KAISER PERMANENTE NPI is 1083002315. The provider is registered as an organization entity type.

The provider's business location address is:

111 SMITH RANCH ROAD
KAISER PERMANENTE
SAN RAFAEL, CA
ZIP 94903
Phone: (415) 444-3522
Fax: (415) 491-3028

The provider's authorized official is Virginia Pieters .
The authorized official title is Provider Enrollment Analst and has the following contact phone number (415) 444-3522.

The enumeration date for this NPI number is 1/9/2015 and was last updated on 1/9/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1273R00000XPsychiatric UnitLCS14720CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11336222397MEDICARE NSCCALIFORNIA
21235226531MEDICARE NSCCALIFORNIA
31841373800MEDICARE NSCCALIFORNIA
41639252604MEDICARE OSCAR/CERTIFICATION
51548343510MEDICARE NSCCALIFORNIA
61073606299MEDICARE NSCCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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