Kaiser Foundation Health Plan Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KAISER FOUNDATION HEALTH PLAN INC

Practice address

800 Freedom LN
FL 1 RM 1201
Aliso Viejo, CA 92656-5878

Phone

(866) 352-9101

NPI assigned

Oct 22, 2025

Organization subpart

No

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

Authorized official

Name

Rhonda Lee Polchak

Title

VP Pharmacy Operations & SVCS, Scal

Phone

(562) 658-3510

Specialties & licenses 2

Addresses

Other names 1

• Kaiser Permanente Pharmacy #769 Other name

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1952278004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12254 BELLFLOWER BLVD FL 2",
            "address_2": "PHARMACY OPERATIONS",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902422804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 FREEDOM LN",
            "address_2": "FL 1 RM 1201",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565878",
            "telephone_number": "866-352-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HEALTH PLAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "POLCHAK",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "VP PHARMACY OPERATIONS & SVCS, SCAL",
        "authorized_official_telephone_number": "562-658-3510"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "800 Freedom Ln Fl 1",
            "city": "Aliso Viejo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926565878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kaiser Permanente Pharmacy #769",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Michael N Kabar, M.D.
• Nikki H Kabra
• Kaiser Foundation Health Plan Inc
• Lindsey Masterson Kalmbach, PA-C
• Kamel Medical Group
• Joseph George Kamel, DO
• Sarah N Karamat, MSW, LCSW
• Karen H Fu MD, Inc

• Community/Retail Pharmacy in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.