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:
Health care specialties
| Specialty | Code | License # | 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 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659428985 | NPPES |
| Other | 0565462 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | PHA395860 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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