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 280 Muir Road , Martinez CA 94553. 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 (925) 372-1366, or through Little, Larry via phone (925) 372-1255.

Contact Information

Primary practice address
280 Muir Road Martinez CA 94553
Phone: (925) 372-1366
Fax: (925) 372-1368
Website:
Map and Directions
Authorized official contact:
Name: Little, Larry
Phone: (925) 372-1255

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X PHY37951 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1356499958
LBN Legal business name Kaiser Foundation Health Plan Inc
DBA Doing business as Kaiser Health Plan Pediatric Phy
Authorized official Little, Larry
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Aug 22nd, 2020 - about 6 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 1356499958 NPPES
Other 0554128 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID PHA379510 OTHER ID NUMBER-COMMERCIAL NUMBER

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