OrganizationActive
Kaiser Foundation Health Plan Inc
NPI 1154479947 · Community/Retail Pharmacy · San Marcos, CA
Provider details
- NPI number
- 1154479947
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Rhonda Polchak, Vp Pharmacy Operations & Svcs Scal(562) 658-3510
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
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
400 Craven Rd
San Marcos, CA 92078-4201
Phone: (866) 385-2650
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 No 220
- Doing business as
- Kaiser Permanente Pharmacy No 220
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2023-07-05
- Certified
- 2023-07-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.