Healthcare Provider Details

I. General information

NPI: 1164342002
Provider Name (Legal Business Name): HPNV HOLDCO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 DEL MONTE LN STE 3
RENO NV
89511-7508
US

IV. Provider business mailing address

1 KAISER PLZ
OAKLAND CA
94612-3610
US

V. Phone/Fax

Practice location:
  • Phone: 775-982-5175
  • Fax:
Mailing address:
  • Phone: 510-271-5910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336M0003X
TaxonomyManaged Care Organization Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA RODRIGUEZ
Title or Position: REGIONAL PRESIDENT
Credential:
Phone: 916-842-0298