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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
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
{
"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
- Kaiser Foundation Health Plan Inc
- Kaiser Foundation Health Plan Inc
- Kaiser Foundation Health Plan Inc
- Kaiser Foundation Hospitals
- Kaiser Foundation Hospitals
- Kaiser Permanente
- Kaiser Permanente
- Kaiser Permanente Panorama City
- Sarkis Sam Kaladzhyan
- Lusine Kalamdjian
All providers in Panorama City, CA · Pharmacist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.