Provider Type Icon

KAISER FOUNDATION HEALTH PLAN INC NPI 1538217351


NPI Information

NPI: 1538217351
Provider Name: KAISER FOUNDATION HEALTH PLAN INC

Doing Business As: KAISER HEALTH PLAN MOB 1 PHY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

CLIA Number: 05D0603727

Address:
901 NEVIN AVE
RICHMOND, CA
ZIP 94801
Phone: (510) 307-2262
Get Directions

KAISER FOUNDATION HEALTH PLAN INC is a clinic pharmacy pharmacy in Richmond, 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 1538217351. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Health Plan Mob 1 Phy.

The provider's business location address is:

901 NEVIN AVE
RICHMOND, CA
ZIP 94801-143
Phone: (510) 307-2262
Fax: (510) 307-2265

The provider's authorized official is Ron Ong .
The authorized official title is Pharmacy Service Mgr and has the following contact phone number (510) 307-2257.

The CLIA number assigned to this NPI record is 05D0603727 - hospital with a certificate type of Certificate of Accreditation.

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 PharmacyPHY20602CALIFORNIAYes
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
10568800OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2PHA206020MEDICAIDCALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.