NPIMap

Organization Active NPI

Permanente Medical Group Inc

  • Internal Medicine Physician
  • Richmond, CA
National Provider Identifier
1235226531
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PERMANENTE MEDICAL GROUP INC
Practice address
901 Nevin
Richmond, CA 94801-3143
Phone
(510) 307-1555
NPI assigned
Oct 6, 2006
Last updated
Oct 19, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
PERMANENTE MEDICAL GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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 14

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X
Dermatology Physician 207N00000X
Emergency Medicine Physician 207P00000X
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X Primary
Obstetrics & Gynecology Physician 207V00000X
Ophthalmology Physician 207W00000X
Orthopaedic Surgery Physician 207X00000X
Otolaryngology Physician 207Y00000X
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
Physical Medicine & Rehabilitation Physician 208100000X
Psychiatry Physician 2084P0800X
Diagnostic Radiology Physician 2085R0202X
Surgery Physician 208600000X

Addresses

Primary practice location

901 Nevin
Richmond, CA 94801-3143

Mailing address

5820 Owens Dr BLDG E2Nd
Pleasanton, CA 94588-3900

Other identifiers 9

IdentifierTypeStateIssuer
ZZZ75900ZMedicaidCA
GROO77361MedicaidCA
GR001572SMedicaidCA
ZZZ20724ZMedicaidCA
ZZZ20725ZMedicaidCA
ZZZ20731ZMedicaidCA
ZZZ20737ZMedicaidCA
GR001572BMedicaidCA
ZZZ20728ZMedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031104000710 CA Part B Supplier - Clinic/Group Practice 8921910225 Receives reassigned benefits from 20,648 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory
Part of
Kaiser Permanente Santa Teresa

Locations

395 Hickey Blvd
Daly City, CA 94015
Phone (650) 301-5800

3100 Dublin Blvd
Dublin, CA 94568
Phone (925) 556-4200

9324 W Stockton Blvd
Elk Grove, CA 95758
Phone (916) 478-7716

1550 Gateway Blvd
Fairfield, CA 94533
Phone (707) 427-4000

2155 Iron Point Rd
Folsom, CA 95630
Phone (916) 817-5000

4785 N 1st St
Fresno, CA 93726
Phone (559) 448-4555

910 Maple St
Redwood City, CA 94063
Phone (650) 299-2111

975 Maple St
Redwood City, CA 94063
Phone (650) 299-2355

1643 Eureka Rd
Roseville, CA 95661
Phone (916) 771-7611

1660 E Roseville Pkwy
Roseville, CA 95661
Phone (916) 878-4022

1650 Response Rd
Sacramento, CA 95815
Phone (916) 614-4040

2016 Morse Ave
Sacramento, CA 95825
Phone (916) 973-5499

801 Traeger Ave
Ste 212
San Bruno, CA 94066
Phone (650) 742-5943

801 Traeger Ave
Ste 304
San Bruno, CA 94066
Phone (650) 438-2158

801 Traeger Ave
Ste 310
San Bruno, CA 94066
Phone (415) 757-9494

1600 Owens St
San Francisco, CA 94158
Phone (415) 833-2200

777 Davis St
San Leandro, CA 94577
Phone (510) 626-2745

1650 Los Gamos Dr
San Rafael, CA 94903
Phone (415) 444-2940

2235 Mercury Way
Santa Rosa, CA 95407
Phone (707) 204-9996

3333 Mendocino Ave
Ste 204
Santa Rosa, CA 95403
Phone (707) 566-5201

1263 E Arques Ave
Sunnyvale, CA 94085
Phone (408) 530-2806

2417 Naglee Rd
Tracy, CA 95304
Phone (209) 832-6339

3555 Whipple Rd
Union City, CA 94587
Phone (510) 454-1000

Practitioners & affiliated clinicians

Practitioners 2,151

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.

View all 2,151

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1235226531",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 NEVIN",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948013143",
            "telephone_number": "510-307-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERMANENTE MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERMANENTE MEDICAL GROUP, INC.",
        "enumeration_date": "2006-10-06",
        "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": "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": "ZZZ75900Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GROO77361",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR001572S",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ20724Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ20725Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ20731Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ20737Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR001572B",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ20728Z",
            "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": "901 Nevin Ave",
            "city": "Richmond",
            "state": "CA",
            "country_code": "US",
            "postal_code": "948013143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, CA

Sources for this page

  • 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.