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KAISER PERMANENTE PHY #193
NPI 1922281906
Pharmacy - Home Infusion Therapy Pharmacy in Fontana, CA

Active since December 12, 2007
17296 SLOVER AVE, PALM COURT 1, FONTANA, CA 92337(909) 609-3360 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2023, Aug 22, 2022 (2 updates tracked since 2022).

About Kaiser Permanente Phy #193 NPPES

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

KAISER PERMANENTE PHY #193 (NPI 1922281906) is a healthcare organization registered as a home infusion therapy pharmacy in Fontana, California and active in the NPI registry since December 2007. The organization lists Rhonda Lee Polchak, Vp Pharmacy Operations & Svcs, Scal, as its authorized official.

NPPES Registry Identity

NPI1922281906
Entity TypeOrganization
Primary Taxonomy3336H0001X
Legal Business NameKAISER FOUNDATION HEALTH PLAN INC
Location Address17296 SLOVER AVE, PALM COURT 1Fontana, CA 92337-7585
Mailing Address12254 Bellflower Blvd Fl 2, Pharmacy Operations DepartmentDowney, CA 90242-2804
Phone(909) 609-3360
Organization SubpartNo
Authorized OfficialRhonda Lee PolchakVp Pharmacy Operations & Svcs, Scal · (562) 658-3510
Enumeration DateDecember 12, 2007
Last NPPES UpdateJune 12, 20232 updates tracked since enumeration
NPPES CertifiedJune 12, 2023
✔ NPI 1922281906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Home Infusion Therapy PharmacySuppliers
Taxonomy Code3336H0001X
License✔ Licensed in CA · PHY48828
Definition
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
17296 SLOVER AVE, Fontana, CA 92337
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Other Names 1

Other NameKaiser Permanente Phy #193

Other Identifiers 1

Other5628827Ncpdp 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 ›

Other Providers at the Same Location NPPES 16

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

KATIE VIEHMANN-WICAL MPH, MCHES, RCP, RRT
Health Educator
17296 SLOVER AVE, PALM COURT 1
FONTANA, CA 92337
San Bernardino County (909) 609-3039
MR. ANDILE ANDY NDLELA CHES
Health Educator
17296 SLOVER AVE
FONTANA, CA 92337
San Bernardino County (909) 609-3000
DR. SARAH ELIZABETH TURNER M.D.
Family Medicine (Obesity Medicine)
17296 SLOVER AVE
FONTANA, CA 92337
San Bernardino County (909) 609-3000
DANA RAE JUAREZ RD
Dietitian, Registered
17296 SLOVER AVE
FONTANA, CA 92337
San Bernardino County (909) 609-3000
DR. CAROL LYNN CRAWFORD PHARM.D.
Pharmacist
17296 SLOVER AVE, HOME HEALTH PHARMACY, PALM COURT I
FONTANA, CA 92337
San Bernardino County (906) 609-3360
IRMA WASSIF SHENOUDA PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
17296 SLOVER AVE
FONTANA, CA 92337
San Bernardino County (909) 609-3360
ALICIA THOMPSON RDN
Dietitian, Registered
17296 SLOVER AVE
FONTANA, CA 92337
San Bernardino County (949) 433-6255
MRS. MARILOU FRAIRE RD
Dietitian, Registered
17296 SLOVER AVE
FONTANA, CA 92337
San Bernardino County (909) 609-3000

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 1922281906. It was assigned to this organization in the NPPES registry on December 12, 2007. The provider is also known as Kaiser Permanente Phy #193.

Where is Kaiser Foundation Health Plan Inc located?

Kaiser Foundation Health Plan Inc is located at 17296 Slover Ave Palm Court 1, Fontana, CA 92337. The listed phone number is (909) 609-3360.

What is Kaiser Foundation Health Plan Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Home Infusion Therapy Pharmacy, with taxonomy code 3336H0001X.

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 12, 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.