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KAISER FOUNDATION HEALTH PLAN INC NPI 1407904238


NPI Information

NPI: 1407904238
Provider Name: KAISER FOUNDATION HEALTH PLAN INC

Doing Business As: KAISER HEALTH WALNUT PEDIATRIC PHY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
610 WALNUT ST
REDWOOD CITY, CA
ZIP 94063
Phone: (650) 299-2565
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KAISER FOUNDATION HEALTH PLAN INC is a clinic pharmacy pharmacy in Redwood City, CA. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. KAISER FOUNDATION HEALTH PLAN INC NPI is 1407904238. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Health Walnut Pediatric Phy.

The provider's business location address is:

610 WALNUT ST
REDWOOD CITY, CA
ZIP 94063-049
Phone: (650) 299-2565
Fax: (650) 299-2618

The provider's authorized official is Simon Chow .
The authorized official title is Op Pharmacy Mgr and has the following contact phone number (650) 299-4176.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 8/22/2020.


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
13336C0002XPharmacyClinic PharmacyPHY20825CALIFORNIAYes
23336C0003XPharmacyCommunity/Retail PharmacyX

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
10569395OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2PHA208250MEDICAIDCALIFORNIA

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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