Kaiser Permanent

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

RPH41947 Issued in CA

Legal business name

KAISER PERMANENT

Practice address

710 Lawrence Expy
Santa Clara, CA 95051-5173

Phone

(408) 851-9302

NPI assigned

Nov 28, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Judy Im, PHARMDNPI 1114016037

Title

Ambcare Pharmacist

Phone

(408) 851-9302

Specialties & licenses 1

Addresses

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.

• Judy Im, PHARMD

  • Pharmacist
  • Santa Clara, CA
  • NPI 1114016037
  NPD (past) Authorized official

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669548863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 LOS PALOS AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943064309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 LAWRENCE EXPY",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950515173",
            "telephone_number": "408-851-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER PERMANENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IM",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "AMBCARE PHARMACIST",
        "authorized_official_telephone_number": "408-851-9302",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "RPH41947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaiser Foundation Hospitals (Kaiser Permanente Psychiatric Health Facility - Santa Clara)
• Kaiser Foundation Hospitals (Kaiser Foundation Hospital HHA Santa Clara)
• Kaiser Foundation Hospitals (Kaiser Found HSP Phy #44B)
• Kaiser Foundation Hospitals (Kaiser Hospital Main Pharmacy)
• Kaiser Foundation Hospitals (Kaiser Foundation Hospital Hospice-Santa Clara)
• Kaiser Permanente
• Kaiser Permanente
• Kaiser Permanente Hospital
• Kaiser Permanete Santa Clara
• Anke Kalaiah, LMFT

• Health Maintenance Organization in Santa Clara, CA
• Providers in Santa Clara, 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 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.

Verify at the official NPI Registry.