Kaiser Permanente

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

RN.0182309 Issued in CO

Legal business name

KAISER PERMANENTE

Practice address

13748 Heatherwood Dr
Eastvale, CA 92880-0713

Phone

(402) 318-4165

NPI assigned

Mar 5, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Renee Davis, RN

Title

RN

Phone

(402) 318-4165

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1407249139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13748 HEATHERWOOD DR",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928800713",
            "telephone_number": "402-318-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13748 HEATHERWOOD DR",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928800713",
            "telephone_number": "402-318-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER PERMANENTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "402-318-4165",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CO",
            "license": "RN.0182309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jovielyn Jaurigue
• Erica Jimenez, LMFT
• Melody Jones
• Abhishek Joshi, DDS
• John Stephen Juniper, MS
• Kaitlin Chin
• Daniel Njoroge Kaiyare
• Florence N Kamau
• Christine W Karuchi, RN
• Koushik Prudvi Kasanagottu, MD

• Health Maintenance Organization in Eastvale, CA
• Providers in Eastvale, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.