Organization Active NPI

Kaiser Permanente

  • Oncology Clinic/Center
  • San Jose, CA
National Provider Identifier
1629528880
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinic/CenterTaxonomy code 261QX0200X
License
RPH 47371 Issued in CA
Legal business name
KAISER PERMANENTE
Practice address
275 Hospital Pkwy
San Jose, CA 95119-1106
Phone
(408) 972-7000
NPI assigned
Oct 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Authorized official

Name
Lan Duong, PHARMD
Title
Pharmacist
Phone
(505) 730-3769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Clinic/Center 261QX0200X RPH 47371 CA Primary

Addresses

Primary practice location

275 Hospital Pkwy
San Jose, CA 95119-1106

Mailing address

6126 Via de Las Abejas
San Jose, CA 95120-4418
Phone (505) 730-3769

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1629528880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6126 VIA DE LAS ABEJAS",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951204418",
            "telephone_number": "505-730-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 HOSPITAL PKWY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191106",
            "telephone_number": "408-972-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER PERMANENTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "LAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "505-730-3769",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "CA",
            "license": "RPH 47371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.