OrganizationActive
Kaiser Foundation Hospitals
NPI 1154479905 · Community/Retail Pharmacy · Hayward, CA
Provider details
- NPI number
- 1154479905
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- David Kvancz, Vp Nat'L Phrmcy Prog & Svcs(562) 658-3510
Specialties & taxonomies
Suppliers
- Managed Care Organization Pharmacy3336M0003X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
27400 Hesperian Blvd
Hayward, CA 94545-4235
Phone: (510) 784-6716
Fax: (510) 784-6717
Street-level locationGet directions
Mailing address
12254 Bellflower Blvd Fl 2
Downey, CA 90242-2804
Other names (DBA / former)
- Doing business as
- Kaiser Permanente Pharmacy #142
- Doing business as
- Kaiser Permanente Pharmacy #142
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2021-04-22
- Certified
- 2021-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.