Active NPI
Kaiser Permanente
- Health Maintenance Organization
- Stockton, CA
National Provider Identifier
1669542510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- KAISER PERMANENTE
- Practice address
- 7375 West Lane
Stockton, CA 95210 - Phone
- (209) 476-2080
- NPI assigned
- Nov 8, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marleen Anne Yu-Li, MD
- Title
- Physician
- Phone
- (209) 476-3422
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | NU | Primary |
Addresses
Primary practice location
7375 West Lane
Stockton, CA 95210
Mailing address
5614 Saint Andrews Dr
Stockton, CA 95219-1928
Phone (209) 951-0888
National Provider Directory
National Provider DirectoryLocations
7375 W LN
Stockton, CA 95210
Phone (209) 476-2080
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Adolescent Medicine Physician
- Stockton, CA
- NPI 1962623207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1669542510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5614 SAINT ANDREWS DR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952191928",
"telephone_number": "209-951-0888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7375 WEST LANE",
"city": "STOCKTON",
"state": "CA",
"postal_code": "95210",
"telephone_number": "209-476-2080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAISER PERMANENTE",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "YU-LI",
"authorized_official_first_name": "MARLEEN",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "209-476-3422",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.