Active NPI
Kaiser Permanente
- Health Maintenance Organization
- Woodland Hills, CA
National Provider Identifier
1013390111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 12736
- Legal business name
- KAISER PERMANENTE
- Practice address
- 5601 De Soto Ave
Woodland Hills, CA 91367-6701 - Phone
- (310) 719-2937
- NPI assigned
- Jul 7, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Kris Keller
- Title
- Director of Rehab Services
- Phone
- (818) 719-2148
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | 12736 | CA | Primary |
Addresses
Primary practice location
5601 De Soto Ave
Woodland Hills, CA 91367-6701
Mailing address
741 Robinson Rd
Topanga, CA 90290-3624
Phone (310) 455-8731
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436227200000",
"number": "1013390111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "741 ROBINSON RD",
"city": "TOPANGA",
"state": "CA",
"postal_code": "902903624",
"telephone_number": "310-455-8731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 DE SOTO AVE",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913676701",
"telephone_number": "310-719-2937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAISER PERMANENTE",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-07",
"last_updated": "2015-07-07",
"status": "A",
"authorized_official_last_name": "KELLER",
"authorized_official_first_name": "KRIS",
"authorized_official_title_or_position": "DIRECTOR OF REHAB SERVICES",
"authorized_official_telephone_number": "818-719-2148",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "CA",
"license": "12736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.