Kaiser Permanente
Organization Active NPI Health Service Clinic/Center · Vallejo, CA
NPI 1831233964 · NPPES record last updated Sep 30, 2008
Key facts
- NPI
- 1831233964
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- Legal business name
- KAISER PERMANENTE
- Practice address
- 975 Sereno Dr
Vallejo, CA 94589-2441 - Phone
- (707) 651-3581
- NPI assigned
- Feb 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Diane Hildebrandt
- Title
- Clinical Nurse Manager
- Phone
- (707) 651-3581
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Perm Med GRP Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Yes |
Addresses
Primary practice location
975 Sereno Dr
Vallejo, CA 94589-2441
Mailing address
877 Channing Cir
Benicia, CA 94510-3638
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 493610 | Other | CA | CAL RN LICENSE |
Other providers in Vallejo, CA
- Kaiser Foundation Hospitals
- Kaiser Foundation Hospitals
- Kaiser Foundation Rehabilitation Center
- Kaiser Permanente
- Kaiser Permanente
- Kaiser Permanente
- Kaiser Permanente
- Kaiser Permanente
- Kaiser Permanente Vallejo
- Regina Kaiser
All providers in Vallejo, CA · Health Service Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.