NPIMap

Permanente Medical Group, Inc

Organization Active NPI Clinical Medical Laboratory · San Jose, CA

NPI 1497971584 · NPPES record last updated Nov 20, 2024

Key facts

NPI
1497971584
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Medical Laboratory 291U00000X
License
CLF 11121 (CA)
Legal business name
PERMANENTE MEDICAL GROUP, INC
Practice address
5755 Cottle Rd BLDG 6
TPMG Regional Genetics Lab
San Jose, CA 95123-3640
Phone
(408) 972-3308
NPI assigned
Apr 17, 2007
Organization subpart
Yes
Parent organization (as reported)
PERMANENTE MEDICAL GROUP, INC.

Authorized official

Name
Ms. Patricia T West
Title
VP Finance
Phone
(510) 295-7207

Other NPIs on the same Medicare enrollment 2

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

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 19,827

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19,827

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20091105000425 CA Part B Supplier - Independent Clinical Laboratory 8921910225 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Berkeley, CA; Richmond, CA; San Jose, CA

National Provider Directory

Tax ID family
Perm Med GRP Inc (26 organizations share this tax ID)
Part of
Perm Med GRP Inc

Locations (25 of 122)

2401 Blanding Ave
Alameda, CA 94501
Phone (510) 486-1467

1725 Eastshore Hwy
Berkeley, CA 94710
Phone (510) 559-4741

220 E Hacienda Ave
Bldg D
Campbell, CA 95008
Phone (408) 871-6500

5318 Manzanita Ave
Carmichael, CA 95608
Phone (916) 331-8513

3847 Walnut Ave
Carmichael, CA 95608
Phone (916) 974-2060

22445 Cupertino Rd
Cupertino, CA 95014
Phone (408) 253-4300

15 Southgate Ave
Daly City, CA 94015
Phone (650) 758-5363

2001 Junipero Serra Blvd
Ste 650
Daly City, CA 94014
Phone (650) 991-6141

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

1261 E Hillsdale Blvd
Foster City, CA 94404
Phone (415) 570-2299

5555 N Fresno St
Fresno, CA 93710
Phone (559) 430-8202

560 E Herndon Ave
Ste 101
Fresno, CA 93720
Phone (559) 432-5278

2666 N Grove Industrial Dr
Fresno, CA 93727
Phone (661) 854-3699

6737 N Willow Ave
Ste C
Fresno, CA 93710
Phone (559) 324-1070

7800 Arroyo Cir
Ste 100
Gilroy, CA 95020
Phone (408) 842-9258

402 W 8th St
Hanford, CA 93230
Phone (209) 634-0014

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

254 Jackson St
Hayward, CA 94544
Phone (510) 583-1255

21966 Dolores St
Hayward, CA 94546
Phone (510) 733-2102

21615 Hesperian Blvd
Hayward, CA 94541

27400 Hesperian Blvd
Hayward, CA 94545
Phone (510) 784-4000

22427 Montgomery St
Hayward, CA 94541
Phone (510) 538-5599

811 Sterling Pkwy
Lincoln, CA 95648
Phone (916) 434-5597

3000 Las Positas Rd
Livermore, CA 94551
Phone (925) 243-2600

777 S Ham Ln
Ste L
Lodi, CA 95242
Phone (209) 333-8909

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLF 11121 CA Yes

Addresses

Primary practice location

5755 Cottle Rd BLDG 6
TPMG Regional Genetics Lab
San Jose, CA 95123-3640

Mailing address

5820 Owens Dr. Building E, 2ND Floor
TPMG Financial Management
Pleasanton, CA 94588-3900

Electronic endpoints

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

Other providers in San Jose, CA

All providers in San Jose, CA · Clinical Medical Laboratory in California

Sources for this page

Verify at the official NPI Registry.