KAISER HEALTH PLAN MAIN PHY 551
NPI 1376691253
Pharmacy - Community/Retail Pharmacy in Antioch, CA

Q: What is Kaiser Foundation Health Plan Inc's NPI number?

The NPI number for Kaiser Foundation Health Plan Inc is 1376691253. It was assigned to this organization in the NPPES registry on January 8, 2007. The provider is doing business as Kaiser Health Plan Main Phy 551.

Q: 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.

Active since January 08, 2007

3400 DELTA FAIR BLVD, ANTIOCH, CA 94509(925) 779-5173(925) 779-5465 Get Directions Write a Review

NPPES record last updated: April 11, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Kaiser Health Plan Main Phy 551 NPPES

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

KAISER HEALTH PLAN MAIN PHY 551 (NPI 1376691253) is a healthcare organization registered as a community/retail pharmacy in Antioch, California and active in the NPI registry since January 2007. The organization lists David Kvancz, Vp Nat'l Phrmcy Prog & Svcs, as its authorized official.

NPPES Registry Identity

NPI1376691253

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameKAISER FOUNDATION HEALTH PLAN INC

Location Address3400 DELTA FAIR BLVDAntioch, CA 94509-4004

Mailing Address3400 Delta Fair BlvdAntioch, CA 94509-4004

Phone(925) 779-5173

Fax(925) 779-5465

Organization SubpartNo

Authorized OfficialDavid KvanczVp Nat'l Phrmcy Prog & Svcs · (562) 658-3510

Enumeration DateJanuary 8, 2007

Last NPPES UpdateApril 11, 2012

✔ NPI 1376691253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in CA · PHY32380

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.

3400 DELTA FAIR BLVD, Antioch, CA 94509

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Other Names 1

Doing Business AsKaiser Health Plan Main Phy 551

Other Identifiers 2

Other0528325Ncpdp Provider Identification Number

MedicaidPHA323800CA

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 20

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

MATTHEW ROBERT WHITE PT

Physical Therapist

3400 DELTA FAIR BLVD
ANTIOCH, CA 94509

Contra Costa County (925) 779-5442

ROSETTA C. NEWHALL MD

Pediatrics

3400 DELTA FAIR BLVD
ANTIOCH, CA 94509

Contra Costa County (925) 779-5000

DR. SANAZ STACY ABOUTALEBI-SIMON O.D.

Optometrist (Corneal and Contact Management)

3400 DELTA FAIR BLVD, THE PERMANENTE MEDICAL GROUP, INC.
ANTIOCH, CA 94509

Contra Costa County (925) 779-5223

RAJ V. DASARI MD

Emergency Medicine

3400 DELTA FAIR BLVD
ANTIOCH, CA 94509

Contra Costa County (925) 779-5000

DR. ATHENA PANZAR PSY.D.

Counselor (Mental Health)

3400 DELTA FAIR BLVD
ANTIOCH, CA 94509

Contra Costa County (925) 779-5090

AL G. SUMAQUIAL MD

Internal Medicine

3400 DELTA FAIR BLVD
ANTIOCH, CA 94509

Contra Costa County (925) 779-5000

BERNABE FLORO URBANO JR. MD

Pediatrics

3400 DELTA FAIR BLVD
ANTIOCH, CA 94509

Contra Costa County (925) 779-5000

DR. PHILIP SONG M.D.

Dermatology

3400 DELTA FAIR BLVD
ANTIOCH, CA 94509

Contra Costa County (925) 817-5600

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 1376691253. It was assigned to this organization in the NPPES registry on January 8, 2007. The provider is doing business as Kaiser Health Plan Main Phy 551.

Where is Kaiser Foundation Health Plan Inc located?

Kaiser Foundation Health Plan Inc is located at 3400 Delta Fair Blvd, Antioch, CA 94509. The listed phone number is (925) 779-5173.

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 23 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 April 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.