Permanente Medical Group Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PERMANENTE MEDICAL GROUP INC

Practice address

710 Lawrence Expressway
Santa Clara, CA 95051-5173

Phone

(408) 851-1000

NPI assigned

Oct 2, 2006

Last updated

Oct 19, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

PERMANENTE MEDICAL GROUP, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Timothy Richards

Title

Cfo

Phone

(925) 924-6777

Specialties & licenses 15

Addresses

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Permanente Medical Group, Inc.

  • Clinical Medical Laboratory
  • Berkeley, CA
  • NPI 1083777163

  8921910225

  Same PAC ID

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Richmond, CA
  • NPI 1235226531

  O20031104000710

  Same enrollment
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Vallejo, CA
  • NPI 1336222397

  O20031104000710

  Same enrollment
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Stockton, CA
  • NPI 1548343510

  O20031104000710

  Same enrollment
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Redwood City, CA
  • NPI 1639252604

  O20031104000710

  Same enrollment
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1841373800

  O20031104000710

  Same enrollment

Part of

The Perm Med GRP Inc

Locations

Practitioners 21,325

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David S. Aaronson, MD

  • Urology Physician
  • Oakland, CA
  • NPI 1215053129
  Medicare reassignment Care Compare group NPD
• Eric Aaserude

  • Emergency Medicine Physician
  • Walnut Creek, CA
  • NPI 1811491194
  Medicare reassignment Care Compare group NPD
• Alexander Garcia Abad, M.P.T.

  • Physical Therapist
  • San Francisco, CA
  • NPI 1790848505
  Medicare reassignment Care Compare group NPD
• Alvin Joseph Untalan Abad, FNP-C

  • Family Nurse Practitioner
  • San Francisco, CA
  • NPI 1154919306
  Medicare reassignment Care Compare group NPD
• Adan Abarca, MD

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1760553689
  Medicare reassignment Care Compare group NPD
• Luba Natalie Abascal, MD

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1023180874
  Medicare reassignment Care Compare group NPD
• Hydee Baldos Abaya Ghazaleh, M.D.

  • Internal Medicine Physician
  • Vacaville, CA
  • NPI 1922688464
  Medicare reassignment Care Compare group NPD
• Jonathan Rudolph Abaya Ghazaleh, MD

  • Internal Medicine Physician
  • Vacaville, CA
  • NPI 1093395535
  Medicare reassignment Care Compare group NPD
• Fakhar Abbas, MD

  • Internal Medicine Physician
  • Fremont, CA
  • NPI 1578022422
  Medicare reassignment Care Compare group NPD
• Paul-Andre Charles Abboud, M.D.

  • Emergency Medicine Physician
  • Oakland, CA
  • NPI 1710065503
  Medicare reassignment Care Compare group NPD
• Steven F. Abboud, MD

  • Anesthesiology Physician
  • Palo Alto, CA
  • NPI 1619364908
  Medicare reassignment Care Compare group NPD
• Triveni Abburi, M.D.

  • Internal Medicine Physician
  • Antioch, CA
  • NPI 1710267497
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1073606299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 OWENS DR BLDG E2ND",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883900",
            "telephone_number": "925-924-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 LAWRENCE EXPRESSWAY",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950515173",
            "telephone_number": "408-851-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERMANENTE MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERMANENTE MEDICAL GROUP, INC.",
        "enumeration_date": "2006-10-02",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "925-924-6777"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ74979Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GROO1572P",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR001572T",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR001572U",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "710 Lawrence Expy",
            "city": "Santa Clara",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950515173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alicia Perez
• Amanda Tatiana Perez
• Claudia Perez
• Karalyn Perez
• Maria Fernanda Perez
• Perrin Health Services LLC
• Brianna K Perry
• Nalini Persaud, MA, LCSW
• Peter Badua Pac
• Matthew Wyatt Peters, MD

• Internal Medicine Physician in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.