Kaiser Permanente

Organization Active NPI Pharmacist · Panorama City, CA

NPI 1316348196 · NPPES record last updated Sep 11, 2014

Key facts

NPI
1316348196
Entity type
Organization (NPI type 2)
Primary specialty
Pharmacist 183500000X
License
71087 (CA)
Legal business name
KAISER PERMANENTE
Practice address
13652 Cantara St
Panorama City, CA 91402-5423
Phone
(818) 375-2417
NPI assigned
Sep 11, 2014
Organization subpart
No

Authorized official

Name
Ken Hom, PHARMD
Title
Clinical Operations Manager
Phone
(818) 815-6854

National Provider Directory

Locations

13652 Cantara St
Panorama City, CA 91402
Phone (818) 375-2417

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist
Group: 193200000X MULTI-SPECIALTY GROUP
183500000X 71087 CA Yes

Addresses

Primary practice location

13652 Cantara St
Panorama City, CA 91402-5423

Mailing address

13652 Cantara St
Panorama City, CA 91402-5423
Phone (818) 375-2417

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 11, 2014.

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1316348196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13652 CANTARA ST",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914025423",
            "telephone_number": "818-375-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13652 CANTARA ST",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914025423",
            "telephone_number": "818-375-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER PERMANENTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "HOM",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "CLINICAL OPERATIONS MANAGER",
        "authorized_official_telephone_number": "818-815-6854",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "71087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

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Sources for this page

Verify at the official NPI Registry.