# KAISER PERMANENTE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134377377
- **Authorized official:** MS. TAMARA LYNNE MYERS CRNA (CRNA)
- **Authorized official phone:** (925) 813-7058

## Contact information

- **Practice address:** 5601 DEER VALLEY RD, ANTIOCH, CA 94531-8577
- **Practice address phone:** (925) 813-7058
- **Mailing address:** 7570 PEDRICK RD., DIXON, CA 95620
- **Mailing address phone:** (707) 678-5046

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | RN556980 | CA | Yes |

## Other

- **Enumeration date:** 08/29/2008
- **Last updated:** 08/29/2008