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KAISER PERMANENTE PHMCY #554
NPI 1154598449
Pharmacy - Community/Retail Pharmacy in Diamond Bar, CA

Active since May 15, 2008
1336 BRIDGEGATE DR, DIAMOND BAR, CA 91765(866) 551-9630 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kaiser Permanente Phmcy #554 NPPES

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

KAISER PERMANENTE PHMCY #554 (NPI 1154598449) is a healthcare organization registered as a community/retail pharmacy in Diamond Bar, California and active in the NPI registry since May 2008. The organization lists Rhonda Lee Polchak, Vp Pharmacy Operations & Svcs, Scal, as its authorized official.

NPPES Registry Identity

NPI1154598449
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKAISER FOUNDATION HEALTH PLAN INC
Location Address1336 BRIDGEGATE DRDiamond Bar, CA 91765-3955
Mailing Address12254 Bellflower Blvd Fl 2, Pharmacy OperationsDowney, CA 90242-2804
Phone(866) 551-9630
Organization SubpartNo
Authorized OfficialRhonda Lee PolchakVp Pharmacy Operations & Svcs, Scal · (562) 658-3510
Enumeration DateMay 15, 2008
Last NPPES UpdateJune 21, 2023
NPPES CertifiedJune 21, 2023
✔ NPI 1154598449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · PHY490334
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); 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
1336 BRIDGEGATE DR, Diamond Bar, CA 91765
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Other Names 1

Doing Business AsKaiser Permanente Phmcy #554

Other Identifiers 2

Other5630264Ncpdp Provider Identification Number
Medicaid1154598449CA

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 ›

Other Providers at the Same Location NPPES 15

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

SAMANTHA NGUYEN MS,AMFT
Marriage & Family Therapist
1336 BRIDGEGATE DR
DIAMOND BAR, CA 91765
Los Angeles County (626) 960-4844
MRS. AMY MELISSA GOODSON
Marriage & Family Therapist
1336 BRIDGEGATE DR
DIAMOND BAR, CA 91765
Los Angeles County (626) 851-1011
DR. SIDDHARTHA KUMAR MD
Psychiatry & Neurology (Psychiatry)
1336 BRIDGEGATE DR
DIAMOND BAR, CA 91765
Los Angeles County (626) 960-4844
MRS. UCHE PHYLLIS ASIODU LCSW
Social Worker (Clinical)
1336 BRIDGEGATE DR
DIAMOND BAR, CA 91765
Los Angeles County (909) 486-5591
CARLA ANN BECKTELL LMFT
Marriage & Family Therapist
1336 BRIDGEGATE DR
DIAMOND BAR, CA 91765
Los Angeles County (833) 574-2273
SERENA SHEN DO
Family Medicine
1336 BRIDGEGATE DR
DIAMOND BAR, CA 91765
Los Angeles County (833) 574-2273
TRICIA DELA CRUZ LMFT
Counselor (Mental Health)
1336 BRIDGEGATE DR
DIAMOND BAR, CA 91765
Los Angeles County (909) 468-5685
LORENA MORENO LCSW
Social Worker (Clinical)
1336 BRIDGEGATE DR
DIAMOND BAR, CA 91765
Los Angeles County (626) 960-4844

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 Health Plan Inc's NPI number?

The NPI number for Kaiser Foundation Health Plan Inc is 1154598449. It was assigned to this organization in the NPPES registry on May 15, 2008. The provider is doing business as Kaiser Permanente Phmcy #554.

Where is Kaiser Foundation Health Plan Inc located?

Kaiser Foundation Health Plan Inc is located at 1336 Bridgegate Dr, Diamond Bar, CA 91765. The listed phone number is (866) 551-9630.

What is Kaiser Foundation Health Plan Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Kaiser Foundation Health Plan Inc 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 Health Plan Inc 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 Health Plan Inc was last updated on June 21, 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.