Organization Active NPI

Kaiser Permanente

  • Health Maintenance Organization
  • Livermore, CA
National Provider Identifier
1881081446
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
KAISER PERMANENTE
Practice address
300 Pullman St
Admin BLDG 2ND Floor
Livermore, CA 94550
Phone
(925) 294-7004
NPI assigned
Apr 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Miss Elissa S Liong, RPHNPI 1215579131
Title
Project Manager
Phone
(925) 294-7004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

300 Pullman St
Admin BLDG 2ND Floor
Livermore, CA 94550

Mailing address

300 Pullman St
Admin BLDG 2ND Floor
Livermore, CA 94550

Other identifiers 1

IdentifierTypeStateIssuer
41064OtherCARPH

National Provider Directory

National Provider Directory

Locations

300 Pullman St
Bldg 2ND
Livermore, CA 94551
Phone (925) 294-7004

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1881081446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PULLMAN ST",
            "address_2": "ADMIN BLDG 2ND FLOOR",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "94550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PULLMAN ST",
            "address_2": "ADMIN BLDG 2ND FLOOR",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "94550",
            "telephone_number": "925-294-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER PERMANENTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "LIONG",
        "authorized_official_first_name": "ELISSA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "925-294-7004",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPH",
            "identifier": "41064",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.