Kaiser Health Plan Pediatric Phy

LBN: Kaiser Foundation Health Plan Inc
Kaiser Health Plan Pediatric Phy is an health care organization with primary practice located at 6600 Bruceville Rd , Sacramento CA 95823-4671. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Kaiser Foundation Health Plan Inc can be contacted via phone (916) 688-6474, or through Bautista, Emily via phone (916) 688-6474.

Contact Information

Primary practice address
6600 Bruceville Rd Sacramento CA 95823-4671
Phone: (916) 688-6474
Fax: (916) 688-2251
Website:
Map and Directions
Authorized official contact:
Name: Bautista, Emily
Phone: (916) 688-6474

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X PHY39586 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1659428985
LBN Legal business name Kaiser Foundation Health Plan Inc
DBA Doing business as Kaiser Health Plan Pediatric Phy
Authorized official Bautista, Emily
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659428985 NPPES
Other 0565462 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID PHA395860 OTHER ID NUMBER-COMMERCIAL NUMBER

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