OrganizationActive
Kaiser Foundation Health Plan Inc
NPI 1104060383 · Community/Retail Pharmacy · Oakland, CA
Kaiser Foundation Health Plan Inc is a Community/Retail Pharmacy organization in Oakland, CA (NPI 1104060383).
Provider details
- NPI number
- 1104060383
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- David Kvancz, Nat'L Vp Phrmcy Prog & Svcs(562) 658-3510
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3701 Broadway Fl 4
Oakland, CA 94611-5613
Phone: (562) 658-3671
Street-level locationGet directions
Mailing address
12254 Bellflower Blvd
Oakland, CA 94611
Other names (DBA / former)
- Doing business as
- Kaiser Permanente Pharmacy #103
Registry dates
- Enumerated
- 2009-05-01
- Last updated
- 2011-01-25
Frequently asked questions
- What is Kaiser Foundation Health Plan Inc's NPI number?
- Kaiser Foundation Health Plan Inc's National Provider Identifier (NPI) is 1104060383, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kaiser Foundation Health Plan Inc?
- Kaiser Foundation Health Plan Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Kaiser Foundation Health Plan Inc located?
- Kaiser Foundation Health Plan Inc's practice location on file with NPPES is 3701 Broadway Fl 4, Oakland, CA 94611-5613.
- What is Kaiser Foundation Health Plan Inc's phone number?
- The practice phone number listed in the NPPES registry for Kaiser Foundation Health Plan Inc is (562) 658-3671.
- Who is the authorized official for Kaiser Foundation Health Plan Inc?
- The authorized official listed on Kaiser Foundation Health Plan Inc's NPPES record is David Kvancz, Nat'L Vp Phrmcy Prog & Svcs. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kaiser Foundation Health Plan Inc's NPI active?
- Yes — Kaiser Foundation Health Plan Inc's NPI (1104060383) is active in the NPPES registry as of the last update on 2011-01-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.