PERMANENTE MEDICAL GROUP INC


Address: 710 Lawrence Expressway, Santa Clara, CA 95051-5173
Phone: 4088511000

PERMANENTE MEDICAL GROUP INC (NPI# 1073606299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073606299
Entity Type Organization
Organization Name PERMANENTE MEDICAL GROUP INC
Practice Address 710 Lawrence Expressway
Santa Clara
CA 95051-5173
Mailing Address 1950 Franklin St
18th Floor Tpmg Financial Mgmt
Oakland
CA 94612-5103
Practice Telephone 4088511000
Mailing Telephone 5109871000
Enumeration Date 2006-10-02
Last Update Date 2020-07-13
Authorized Official Name MS. PATRICIA T WEST (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 5102957207
Is Organization Subpart Y
Parent Organization Name PERMANENTE MEDICAL GROUP, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207W00000X Ophthalmology Allopathic & Osteopathic Physicians
N 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians
N 207Y00000X Otolaryngology Allopathic & Osteopathic Physicians
N 207L00000X Anesthesiology Allopathic & Osteopathic Physicians
N 207N00000X Dermatology Allopathic & Osteopathic Physicians
N 207P00000X Emergency Medicine Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
N 207V00000X Obstetrics & Gynecology Allopathic & Osteopathic Physicians
N 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
Allopathic & Osteopathic Physicians
N 208000000X Pediatrics Allopathic & Osteopathic Physicians
N 208100000X Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians
N 208600000X Surgery Allopathic & Osteopathic Physicians
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA GROO1572P 05
CA GR001572U 05
CA GR001572T 05
CA ZZZ74979Z 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1841373800 Permanente Medical Group Inc Anesthesiology 2238 Geary, San Francisco, CA 94116-3416 2006-10-23
1235226531 Permanente Medical Group Inc Surgery 901 Nevin, Richmond, CA 94801-3143 2006-10-06
1336222397 Permanente Medical Group Inc Anesthesiology 975 Sereno Drive, Vallejo, CA 94589-2441 2006-10-23
1639252604 Permanente Medical Group Inc Anesthesiology 1190 Veterans Blvd, Redwood City, CA 94063-2037 2006-10-23
1548343510 Permanente Medical Group Inc Surgery 7373 West Lane, Stockton, CA 95210-3377 2006-10-23

Office Location

Street Address 710 LAWRENCE EXPRESSWAY
City SANTA CLARA
State CA
Zip Code 95051-5173

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750389250 Hyma Tanikella Vempaty Internal Medicine 710 Lawrence Expressway, Kaiser Permanente, Santa Clara, CA 95051 2005-07-08
1326658089 Andrea King Pharmacist 710 Lawrence Expressway, Mob 3rd Floor, Dept 362, Santa Clara, CA 95051 2020-08-06
1992323265 Ashley C Yam Pharmacist 710 Lawrence Expressway, 3rd Floor, Department 362, Santa Clara, CA 95051 2020-07-13
1194385419 Golnoush Golshan Pharmacist 710 Lawrence Expressway, 3rd Floor, Dept. 362, Santa Clara, CA 95051 2019-06-18
1629542006 Beverly Saito Acuna Respiratory Therapist, Certified 710 Lawrence Expressway, Pulmonary Department #282 /m2405, Santa Clara, CA 95051 2019-01-18
1891265427 Sarah Mcadoo Respiratory Therapist, Registered 710 Lawrence Expressway, Santa Clara, CA 95051 2018-11-27
1063941920 Amanda Do Clinical Pharmacology 710 Lawrence Expressway, Mob, 3rd Fl, Dept 362, Santa Clara, CA 95051 2017-06-05
1619409067 Jessica Marie Ocampo Student in an Organized Health Care Education/Training Program 710 Lawrence Expressway, Department 384, Santa Clara, CA 95051 2017-04-03
1265842967 Merrit Alexis Hoover Koskelo Student in an Organized Health Care Education/Training Program 710 Lawrence Expressway, Kaiser Permanente Medical Center, Santa Clara, CA 95051 2014-05-02
1114272812 Joanne Francisco Pharmacist 710 Lawrence Expressway, Dept 362 Kaiser Permanente Santa Clara, Santa Clara, CA 95051 2012-07-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043773690 Christian Hamm Pharmacist Kaiser Permanente Medical Center Santa Clara, Dept 362 (inpatient Pharmacy), 710 Lawrence Expressway, Santa Clara, CA 95051 2019-04-10
1053879692 Jiaqi Weng Acupuncturist 2062 Walsh Ave Suite B2, San Clare, CA 95051 2019-03-02
1699293209 Leslie Avalos Massage Therapist 3530 Lochnivar Ave, Santa Clara, CA 95051 2017-09-04
1831552843 Miral Neel Patel Physical Therapist 2737 Walsh Avenue, Alliance Occupational Medicine, Santa Clara, CA 95051 2016-03-29
1861831117 Alison Wong Emergency Medicine 700 Lawrence Expy Dept 100, Santa Clara, CA 95051 2013-06-20
1073889291 Brittany Lee Bianchi Speech-Language Pathologist 3775 Flora Vista Ave, Apt. 501, Santa Clara, CA 95051 2012-04-02
1124390067 Karo Isajan Chiropractor 5145 Stevens Creek Blvd Ste 130, Santa Clara, CA 95051 2012-02-08
1598054991 David Phillip Guo Urology 710 Lawrence Expy Dept 448, Santa Clara, CA 95051 2011-04-06
1043528573 Jennifer Hui Young Chiropractor 2342 Walsh Ave, Santa Clara, CA 95051 2010-09-17
1386961217 Assefa Gebremichael Pharmacist 1000 Kiely Blvd, #91, Santa Clara, CA 95051 2010-05-03
Find all providers in zip 95051

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366853103 Momina Waqar Internal Medicine 710 Lawrence Expy Dept 360, Santa Clara, CA 95051-5173 2014-05-14
1811278682 Mariya Pelvitski Internal Medicine 710 Lawrence Expy Dept 498, Santa Clara, CA 95051-5173 2011-09-07
1568789048 Richard Anthony Lau Internal Medicine 710 Lawrence Expy Dept 140, Santa Clara, CA 95051 2010-04-23
1356581748 Kavitha Kambham Internal Medicine 2233 Lenox Pl, Santa Clara, CA 95054-1385 2009-02-25
1134374275 Peter K Lee Internal Medicine 710 Lawrence Expy Dept 384, Santa Clara, CA 95051-5173 2008-11-17
1003070012 Uma Devi Kantamuneni Internal Medicine 3655 Pruneridge Ave Apt 224, Santa Clara, CA 95051-5948 2008-07-18
1497928360 Central Medical Center Inc Internal Medicine 2344 El Camino Real Ste 105, Santa Clara, CA 95050-4072 2008-04-10
1255525366 Elisabeth Anna Calvelli Internal Medicine 710 Lawrence Expy Dept 260, Kaiser Permanente, Santa Clara, CA 95051-5173 2007-08-31
1700935632 Ana Milena Ojeda Brittain Internal Medicine 700 Lawrence Expressway, Suite P 3502 Hospital Medicine, Santa Clara, CA 95051 2007-01-09
1881762847 De H Tran Internal Medicine 2518 Mission College Blvd, Santa Clara, CA 95054-1239 2006-11-30
Find all providers in SANTA CLARA

Competitor

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City SANTA CLARA
Zip Code 95051

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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