Southern California Permanente Medical Group
Organization
Active NPI
Health Maintenance Organization · Lancaster, CA
NPI 1982863783 · NPPES record last updated May 27, 2021
Key facts
- NPI
- 1982863783
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Maintenance Organization 302R00000X
- Legal business name
- SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
- Practice address
- 43112 N 15TH St
Lancaster, CA 93534-6219
- Phone
- (661) 726-2279
- NPI assigned
- Jun 6, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Ramin Davidoff
- Title
- Executive Medical Director
- Phone
- (877) 608-0044
Other NPIs on the same Medicare enrollment 24
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
Southern California Permanente Medical Group Health Maintenance Organization · Northridge, CA · NPI 1013409036
-
Southern California Permanente Medical Group Health Maintenance Organization · Los Angeles, CA · NPI 1013409044
-
Southern California Permanente Medical Group Health Maintenance Organization · San Diego, CA · NPI 1023425972
-
Southern California Permanente Medical Group Health Maintenance Organization · Bellflower, CA · NPI 1043242555
-
Southern California Permanente Medical Group Health Maintenance Organization · Los Angeles, CA · NPI 1043242563
-
Southern California Permanente Medical Group Health Maintenance Organization · Los Angeles, CA · NPI 1134151657
-
Southern California Permanente Medical Group Health Maintenance Organization · Hawthorne, CA · NPI 1164914115
-
Southern California Permanente Medical Group Health Maintenance Organization · San Diego, CA · NPI 1225060742
-
Southern California Permanente Medical Group Health Maintenance Organization · Oxnard, CA · NPI 1275756652
-
Southern California Permanente Medical Group Health Maintenance Organization · Santa Clarita, CA · NPI 1316409410
-
Southern California Permanente Medical Group Health Maintenance Organization · Riverside, CA · NPI 1316979834
-
Southern California Permanente Medical Group Health Maintenance Organization · Fullerton, CA · NPI 1336556059
-
Southern California Permanente Medical Group Clinical Medical Laboratory · Los Angeles, CA · NPI 1346328853
-
Southern California Permanente Medical Group Health Maintenance Organization · Panorama City, CA · NPI 1407888928
-
Southern California Permanente Medical Group Health Maintenance Organization · Harbor City, CA · NPI 1598797011
-
Southern California Permanente Medical Group Health Maintenance Organization · Fontana, CA · NPI 1689606196
-
Southern California Permanente Medical Group Health Maintenance Organization · Baldwin Park, CA · NPI 1770515280
-
Southern California Permanente Medical Group Health Maintenance Organization · Inglewood, CA · NPI 1821635079
-
Southern California Permanente Medical Group Health Maintenance Organization · Bakersfield, CA · NPI 1861424376
-
Southern California Permanente Medical Group Health Maintenance Organization · Pico Rivera, CA · NPI 1891287827
-
Southern California Permanente Medical Group Clinical Medical Laboratory · N Hollywood, CA · NPI 1891873303
-
Southern California Permanente Medical Group Health Maintenance Organization · Rosemead, CA · NPI 1942787114
-
Southern California Permanente Medical Group Health Maintenance Organization · Anaheim, CA · NPI 1952333460
-
Southern California Permanente Medical Group Health Maintenance Organization · Woodland Hills, CA · NPI 1952333478
Practitioners 611
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
Frank Gregory Abt, P.A.
Physician Assistant · Northridge, CA · NPI 1184670374
-
Gabriela Acosta, 50463 LMFT
Mental Health Counselor · Lancaster, CA · NPI 1275652257
-
Niko Sebastian Baldemor Africano Certified Registered Nurse Anesthetist · Los Angeles, CA · NPI 1609557982
-
Farnaz Khosh Aghideh, M.D.
Obstetrics & Gynecology Physician · Los Angeles, CA · NPI 1043512619
-
Patricia Aguinaldo, DNP, NP-C
Family Nurse Practitioner · West Hollywood, CA · NPI 1922367028
-
Taha M. Ahmad, MD
Occupational Medicine Physician · Panorama City, CA · NPI 1629126669
-
Syed Ajaz Ahmed, MD
Clinical Genetics (M.D.) Physician · Riverside, CA · NPI 1538217310
-
Mahmuda Akhter Alam, M.D.
Geriatric Medicine (Internal Medicine) Physician · Glendale, CA · NPI 1568659985
-
Britany Evonne Victoria Alexander, M. D.
Psychiatry Physician · Torrance, CA · NPI 1891929832
-
Julie L. Alexander, MD
Body Imaging Physician · Panorama City, CA · NPI 1760559587
-
Carrie Ann Algozine, DO
Internal Medicine Physician · Panorama City, CA · NPI 1134290067
-
Anasheh Almasi, MD
Family Medicine Physician · Santa Clarita, CA · NPI 1750908257
-
Ma. Teresa C. Ambat, M.D.
Neonatal-Perinatal Medicine Physician · Panorama City, CA · NPI 1598788929
-
Maziyar Amini, M.D.
Internal Medicine Physician · Los Angeles, CA · NPI 1891992525
-
Albert Nana Amoani Jr., PAC
Physician Assistant · Palmdale, CA · NPI 1689613515
-
Paul Garcia Anamos, C.R.N.A.
Certified Registered Nurse Anesthetist · Panorama City, CA · NPI 1760649644
-
Catherine Danielle Antonuk, MD
Emergency Medicine Physician · Torrance, CA · NPI 1497286256
-
Charity Amber Jamir Apelo, MD
Emergency Medicine Physician · Los Angeles, CA · NPI 1336638394
-
Tracy L Arazi, AUD
Audiologist · Panorama City, CA · NPI 1912066630
-
Krithika Rao Arora, MD
Emergency Medicine Physician · Los Angeles, CA · NPI 1922701218
-
Armen Arshakyan, M.D.
General Acute Care Hospital · West Hollywood, CA · NPI 1700158060
-
Becky Jo Ashlock, RN
Student in an Organized Health Care Education/Training Program · Santa Clarita, CA · NPI 1497077663
-
Alejandra Cruz Astorga, P.A.
Medical Physician Assistant · Pasadena, CA · NPI 1851419220
-
Nazanin Hajarol Asvadi, MD
Diagnostic Radiology Physician · Thousand Oaks, CA · NPI 1689197196
-
Liana Michelle Atallah, MD
Internal Medicine Physician · Panorama City, CA · NPI 1659860229
View all 611
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
| O20031110000678 |
CA |
Part B Supplier - Clinic/Group Practice |
6002729175 |
Receives reassigned benefits from 14,591 practitioners 21 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
| O20260217001864 |
CA |
MDPP Supplier - in-Person MDPP Supplier With Distance Learning |
6002729175 |
12 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
Locations
393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914
126 W Del Mar Blvd
Pasadena, CA 91105
Phone (323) 224-7111
365 E Hillcrest Dr
Thousand Oaks, CA 91360
Phone (805) 374-7551
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
| Health Maintenance Organization |
302R00000X |
|
|
Yes |
Addresses
Primary practice location
43112 N 15TH St
Lancaster, CA 93534-6219
Mailing address
393 E Walnut St
3Rd Floor, PHR Group & Provider Enrollment
Pasadena, CA 91188-0001
Phone (626) 405-7914
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
| SOAP URL |
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondingg |
Health Information Exchange (HIE) |
|