Kaiser Permanente

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

450481 Issued in CA

Legal business name

KAISER PERMANENTE

Practice address

901 Nevin Ave
Richmond, CA 94801-3143

Phone

(510) 307-2375

NPI assigned

May 22, 2008

Last updated

May 22, 2008By 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

Mrs. Mary Beth Medina, RN

Title

Registered Nurse

Phone

(510) 262-9499

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1811154156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 JO-LIN COURT",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "94803",
            "telephone_number": "510-262-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 NEVIN AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948013143",
            "telephone_number": "510-307-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER PERMANENTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "510-262-9499",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": "450481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaiser Foundation Health Plan Inc (Kaiser Health Plan Mob 1 Phy)
• Kaiser Foundation Hospitals (Kaiser Outpatient Hospital Pharmacy 123)
• Kaiser Foundation Hospitals (Kaiser FDN HSP Inp Phy 12a)
• Kaiser Permanente
• Kaiser Permanente
• Susan N Kalaei, PHARM D
• Barry Kamil, PH.D.
• Marlen Kanagui-Munoz, PHD
• Jennifer Denise Kantor
• Risa Kaparo, PHD

• Nursing Facility/Intermediate Care Facility in Richmond, CA
• Providers in Richmond, CA by specialty
• Nursing Facility/Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.