Kaiser Permanente

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

RPH 39279 Issued in CA

Legal business name

KAISER PERMANENTE

Practice address

1301 California St
Redlands, CA 92374-2910

Phone

(909) 809-3110

NPI assigned

Mar 9, 2017

Last updated

Mar 9, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Frank Ayala Jr., RPH

Title

Pharmacist

Phone

(909) 809-3110

Specialties & licenses 1

Addresses

Tax ID family

Hometown3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Hometown

  • Mental Illness Community Based Residential Treatment Facility
  • Hoxie, AR
  • NPI 1114247863
  NPD tax ID
• Usf Health

  • Children's Hospital
  • Tampa, FL
  • NPI 1619307667
  NPD tax ID

Locations

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1083155022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CALIFORNIA ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742910",
            "telephone_number": "909-809-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CALIFORNIA ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742910",
            "telephone_number": "909-809-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER PERMANENTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "AYALA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "909-809-3110",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "RPH 39279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JWR Wellness Clinics, Inc
• JWR Wellness Clinics, Inc
• Katherine Kaatz, OTR/L
• Anirudh Kadambi, M.D.
• Kaiser Foundation Health Plan Inc
• Cindy Kaiser
• Kiana Kalaghichian, LCSW67830
• Chaitanya Kumar Kalluru
• Amanda Kamiyama
• Kassidy Kamiyama

• Health Maintenance Organization in Redlands, CA
• Providers in Redlands, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.