Kaiser Permanente

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

23411 Issued in CA

Legal business name

KAISER PERMANENTE

Practice address

1041 Elkgrove Ave
Apartment #4
Venice, CA 90291-3191

Phone

(310) 569-4622

NPI assigned

Feb 16, 2016

Organization subpart

No

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

Authorized official

Name

Ashley Marie Chavez, M.S., CCC-SLP

Title

Speech Language Pathologist

Phone

(310) 569-4622

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1427417666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 ELKGROVE AVE",
            "address_2": "APT 4",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902913191",
            "telephone_number": "310-569-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 ELKGROVE AVE",
            "address_2": "APARTMENT #4",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902913191",
            "telephone_number": "310-569-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER PERMANENTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "310-569-4622",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "23411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John William Johnson, LMFT
• Paul Jones
• Sarah Juul, DPT
• Mohammed Sufiyan Kagzi, LCSW
• Fred Kahane, M.F.T.
• Athanasia Nancy Kakoyannis, D.O.
• Leonard Kalina, ACUPUNCTURIST
• Melissa Renee Kallsen, L.AC
• Esaam Nabil Kamareddine, DPT
• Traci Kapp

• General Acute Care Hospital in Venice, CA
• Providers in Venice, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.