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KAISER FOUND HOSPITAL PHRMCY #529
NPI 1104070242
Pharmacy - Institutional Pharmacy in Moreno Valley, CA

Active since November 14, 2008CLIA 05D0573874 · Accreditation
27300 IRIS AVE, MORENO VALLEY, CA 92555(951) 243-2162 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 1, 2023, Apr 22, 2021 (2 updates tracked since 2021).

About Kaiser Found Hospital Phrmcy #529 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAISER FOUND HOSPITAL PHRMCY #529 (NPI 1104070242) is a healthcare organization registered as an institutional pharmacy in Moreno Valley, California and active in the NPI registry since November 2008. The organization holds an CLIA Accreditation certificate valid through November 30, 2027 and lists Rhonda Lee Polchak, Vp Pharmacy Operations & Svcs, Scal, as its authorized official.

NPPES Registry Identity

NPI1104070242
Entity TypeOrganization
Primary Taxonomy3336I0012X
Legal Business NameKAISER FOUNDATION HOSPITALS
Location Address27300 IRIS AVEMoreno Valley, CA 92555-4802
Mailing Address12254 Bellflower Blvd Fl 2, Pharmacy OperationsDowney, CA 90242-2804
Phone(951) 243-2162
Organization SubpartNo
Authorized OfficialRhonda Lee PolchakVp Pharmacy Operations & Svcs, Scal · (562) 658-3510
Enumeration DateNovember 14, 2008
Last NPPES UpdateJune 1, 20232 updates tracked since enumeration
NPPES CertifiedJune 1, 2023
✔ NPI 1104070242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Institutional PharmacySuppliers
Taxonomy Code3336I0012X
License✔ Licensed in CA · HSP49011
Definition
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
27300 IRIS AVE, Moreno Valley, CA 92555
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Other Names 1

Other NameKaiser Found Hospital Phrmcy #529

Other Identifiers 1

Other5640479Ncpdp Provider Identification Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 05D0573874

Kaiser Foundation Hospital - Moreno Valley · Moreno Valley, CA
Active · expires Nov 30, 2027
CLIA Number05D0573874
Laboratory TypeHospital
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorDr. Mark T. Taira
Laboratory Phone(951) 243-2011
Laboratory LocationKaiser Foundation Hospital - Moreno Valley27300 Iris Ave, Moreno Valley, CA 92555
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NNEOMA SUSAN OBINNA
Registered Nurse
27300 IRIS AVE
MORENO VALLEY, CA 92555
Riverside County (833) 574-2273
THELMA IMMACULADA E EDQUID MD PC
Anesthesiology
27300 IRIS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 243-0811
DR. YIFEI ZHENG M.D.
Anesthesiology
27300 IRIS AVE
MORENO VALLEY, CA 92555
Riverside County (619) 373-5740
SHAWNA BRAMEL LCSW
Social Worker (Clinical)
27300 IRIS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 251-6007
DR. PATRICK NICHOLEUS CAMPO PAGADUAN DO
Student in an Organized Health Care Education/Training Program
27300 IRIS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 353-4619
MISS SOUDABEH SOHEILI
Respiratory Therapist, Registered (General Care)
27300 IRIS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 243-0811
KAISER FOUNDATION HOSPITALS
General Acute Care Hospital
27300 IRIS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 243-2263
MRS. CHEVON MARIE RAICH RD
Dietitian, Registered
27300 IRIS AVE
MORENO VALLEY, CA 92555
Riverside County (833) 574-2273

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaiser Foundation Hospitals's NPI number?

The NPI number for Kaiser Foundation Hospitals is 1104070242. It was assigned to this organization in the NPPES registry on November 14, 2008. The provider is also known as Kaiser Found Hospital Phrmcy #529.

Where is Kaiser Foundation Hospitals located?

Kaiser Foundation Hospitals is located at 27300 Iris Ave, Moreno Valley, CA 92555. The listed phone number is (951) 243-2162.

What is Kaiser Foundation Hospitals's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Institutional Pharmacy, with taxonomy code 3336I0012X.

Does Kaiser Foundation Hospitals hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 05D0573874) is associated with this NPI, valid through November 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kaiser Foundation Hospitals accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 24 other insurers list Kaiser Foundation Hospitals as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kaiser Foundation Hospitals was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.