Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaiser Foundation Health Plan Inc

Organization Pharmacy · NPI 1922281906

Kaiser Foundation Health Plan Inc is a Pharmacy in Fontana, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17296 Slover Ave Palm Court 1
Fontana, CA 92337-7585
Phone: (909) 609-3360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Infusion Therapy Pharmacy (primary) Taxonomy 3336H0001X · Licence PHY48828 (CA)
Pharmacy Taxonomy 333600000X
Compounding Pharmacy Taxonomy 3336C0004X

Record details

NPI number1922281906
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rhonda Polchak — Vp Pharmacy Operations & Svcs, Scal · (562) 658-3510
Other names Kaiser Permanente Phy #193
NPI enumeratedDecember 12, 2007
Last updated in NPPESJune 12, 2023
Certification dateJune 12, 2023
Mailing address12254 Bellflower Blvd Fl 2, Pharmacy Operations Department, Downey, CA 90242-2804

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