Kaiser Permanente

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

17657 Issued in CA

Legal business name

KAISER PERMANENTE

Practice address

204 S Arnaz Dr Apt 3
Beverly Hills, CA 90211-2818

Phone

(213) 215-5142

NPI assigned

Jun 21, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marica Sue Lee

Title

Department Administrator

Phone

(323) 857-4142

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Kaiser Permanente2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kaiser Permanente

  • Primary Care Clinic/Center
  • Los Angeles, CA
  • NPI 1073825162
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1033430319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6041 CADILLAC AVE",
            "address_2": "ENDOCRINOLOGY DEPT #220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900341702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S ARNAZ DR APT 3",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112818",
            "telephone_number": "213-215-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER PERMANENTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MARICA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "DEPARTMENT ADMINISTRATOR",
        "authorized_official_telephone_number": "323-857-4142"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "17657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17657",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angel Dawn Kahane, PSY.D.
• Shirley Mona Kahenzadeh, M.S.W., L.C.S.W.
• Malvikaa Kahlon
• Arthur Kahn, M.D.
• Samantha Michelle Kaikai, NP
• Melia Nami Kakita, DPT, CSCS
• Shana Subodh Kalaria, M.D.
• Niree Kalfayan, PHARMD, BCPS
• Michael Kaliko, D.C.
• Tom Kalili, D.M.D

• Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.