OrganizationActive
Kaiser Foundation Health Plan Inc
NPI 1376691253 · Community/Retail Pharmacy · Antioch, CA
Kaiser Foundation Health Plan Inc is a Community/Retail Pharmacy organization in Antioch, CA (NPI 1376691253).
Provider details
- NPI number
- 1376691253
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- David Kvancz, Vp Nat'L Phrmcy Prog & Svcs(562) 658-3510
- License
- PHY32380 (CA)
Specialties & taxonomies
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
3400 Delta Fair Blvd
Antioch, CA 94509-4004
Phone: (925) 779-5173
Fax: (925) 779-5465
Street-level locationGet directions
Mailing address
3400 Delta Fair Blvd
Antioch, CA 94509-4004
Other names (DBA / former)
- Doing business as
- Kaiser Health Plan Main Phy 551
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2012-04-11
Frequently asked questions
- What is Kaiser Foundation Health Plan Inc's NPI number?
- Kaiser Foundation Health Plan Inc's National Provider Identifier (NPI) is 1376691253, 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 3400 Delta Fair Blvd, Antioch, CA 94509-4004.
- 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 (925) 779-5173.
- 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, Vp Nat'L 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 (1376691253) is active in the NPPES registry as of the last update on 2012-04-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.