NPIMap

Organization Active NPI

Southern California Kaiser Permanente

  • General Acute Care Hospital
  • Anaheim, CA
National Provider Identifier
1366980831
Registry record updated Feb 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
A115922 Issued in CA
Legal business name
SOUTHERN CALIFORNIA KAISER PERMANENTE
Practice address
3440 E la Palma Ave
Anaheim, CA 92806-2020
Phone
(714) 644-2800
NPI assigned
Feb 5, 2017
Last updated
Feb 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2017

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

Authorized official

Name
Valentina Agustin
Title
MD
Phone
(714) 644-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X A115922 CA Primary

Addresses

Primary practice location

3440 E la Palma Ave
Anaheim, CA 92806-2020

Mailing address

3440 E la Palma Ave
Anaheim, CA 92806-2020

National Provider Directory

National Provider Directory
Tax ID family
Gayle Witham456 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": "1486252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486252800000",
    "number": "1366980831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 E LA PALMA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928062020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 E LA PALMA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928062020",
            "telephone_number": "714-644-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA KAISER PERMANENTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-05",
        "last_updated": "2017-02-05",
        "status": "A",
        "authorized_official_last_name": "AGUSTIN",
        "authorized_official_first_name": "VALENTINA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "714-644-2800"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "A115922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.