NPIMap

Organization Active NPI

Kaiser Permanente

  • Primary Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1073825162
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
17657 Issued in CA
Legal business name
KAISER PERMANENTE
Practice address
6041 Cadillac Ave
Endocrinology Departement
Los Angeles, CA 90034-1702
Phone
(323) 857-4035
NPI assigned
Jul 6, 2010
Last updated
Jul 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Authorized official

Name
Ann Eunhee Yoon, NPNPI 1780994541
Title
Diabetes Nures
Phone
(323) 857-4035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 17657 CA Primary

Addresses

Primary practice location

6041 Cadillac Ave
Endocrinology Departement
Los Angeles, CA 90034-1702

Mailing address

204 S Arnaz Dr Apt 3
Beverly Hills, CA 90211-2818
Phone (213) 215-5142

Other identifiers 1

IdentifierTypeStateIssuer
17657MedicaidCA

National Provider Directory

National Provider Directory
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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1073825162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S ARNAZ DR APT 3",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112818",
            "telephone_number": "213-215-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6041 CADILLAC AVE",
            "address_2": "ENDOCRINOLOGY DEPARTEMENT",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900341702",
            "telephone_number": "323-857-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER PERMANENTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "EUNHEE",
        "authorized_official_title_or_position": "DIABETES NURES",
        "authorized_official_telephone_number": "323-857-4035",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "17657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17657",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.