Kaiser Permanente

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

A114490 Issued in CA

Legal business name

KAISER PERMANENTE

Practice address

580 North Treeline Drive
Apt 107
Corona, CA 92879

Phone

(818) 523-2248

NPI assigned

Feb 10, 2011

Last updated

Feb 10, 2011By 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

Julina Harmandjian, MD

Title

Resident Physician

Phone

(818) 523-2248

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297296000000",
    "number": "1184920076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 TREELINE DR UNIT 107",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791197",
            "telephone_number": "818-523-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 NORTH TREELINE DRIVE",
            "address_2": "APT 107",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92879",
            "telephone_number": "818-523-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER PERMANENTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-10",
        "last_updated": "2011-02-10",
        "status": "A",
        "authorized_official_last_name": "HARMANDJIAN",
        "authorized_official_first_name": "JULINA",
        "authorized_official_title_or_position": "RESIDENT PHYSICIAN",
        "authorized_official_telephone_number": "818-523-2248",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "A114490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kadour and Hattar Inc (Bee Well Pharmacy)
• Ibtihal M Kadour, RPH
• Kaiser Foundation Health Plan Inc
• Kaiser Foundation Hospitals (Kaiser Riverside Home Health Agency (Parent))
• Kaiser Foundation Hospitals (Kaiser Foundation Hospital - Riverside Hospice)
• John Emil Kaiser, M.D.
• Ria Kale
• James George Kalkanis, MD
• Tobin Visi Kallippurathu, PMHNP
• Jennifer Kalmikov

• General Acute Care Hospital in Corona, CA
• Providers in Corona, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; 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.