NPIMap

Organization Active NPI

Kaiser Foundation Health Plan Inc

Doing business as Kaiser Health Plan Pediatric Phy

  • Community/Retail Pharmacy
  • Milpitas, CA
National Provider Identifier
1285782169
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KAISER FOUNDATION HEALTH PLAN INC
Doing business as
Kaiser Health Plan Pediatric Phy
Practice address
589 Los Coches St
Milpitas, CA 95035-5423
Phone
(408) 945-2747
Fax
(408) 945-2626
NPI assigned
Jan 8, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Richard Yep
Title
Pharmacy Service MGR
Phone
(408) 945-2642

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X PHY33297 CA
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

589 Los Coches St
Milpitas, CA 95035-5423

Mailing address

589 Los Coches St
Milpitas, CA 95035-5423

Other identifiers 2

IdentifierTypeStateIssuer
0528806OtherOTHER ID NUMBER-COMMERCIAL NUMBER
PHA332970MedicaidCA

Other names 1

  • KAISER HEALTH PLAN PEDIATRIC PHY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kaiser Foundation HLTH379 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1285782169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "589 LOS COCHES ST",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950355423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 LOS COCHES ST",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950355423",
            "telephone_number": "408-945-2747",
            "fax_number": "408-945-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HEALTH PLAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "YEP",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PHARMACY SERVICE MGR",
        "authorized_official_telephone_number": "408-945-2642"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "CA",
            "license": "PHY33297",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0528806",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA332970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KAISER HEALTH PLAN PEDIATRIC PHY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.