SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP (NPI# 1316409410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316409410 |
| Entity Type | Organization |
| Organization Name | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Practice Address |
19105 Golden Valley Rd Santa Clarita CA 91387-1428 |
| Mailing Address |
393 E Walnut St Fl 3 Pasadena CA 91188-0001 |
| Practice Telephone | 8776080044 |
| Mailing Telephone | 8776080044 |
| Mailing Fax Number | 8775140903 |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-04-05 |
| Authorized Official Name | DR. EDWARD M ELLISON (EXECUTIVE MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8776080044 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| TARGET CLINIC MEDICAL ASSOCIATES | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982863783 | Southern California Permanente Medical Group | Health Maintenance Organization | 43112 N 15th St, Lancaster, CA 93534-6219 | 2008-06-06 |
| 1275756652 | Southern California Permanente Medical Group | Health Maintenance Organization | 2103 E Gonzales Rd, Oxnard, CA 93036-3757 | 2007-04-11 |
| 1891873303 | Southern California Permanente Medical Group | Clinical Medical Laboratory | 11668 Sherman Way, N Hollywood, CA 91605-5831 | 2006-11-01 |
| 1861424376 | Southern California Permanente Medical Group | Health Maintenance Organization | 3733 San Dimas St, Bakersfield, CA 93301-1407 | 2006-07-07 |
| 1316572753 | Southern California Permanente Medical Group | Health Maintenance Organization | 9100 Rosedale Hwy, Bakersfield, CA 93312-2143 | 2020-03-05 |
| 1821635079 | Southern California Permanente Medical Group | Health Maintenance Organization | 3471 W Century Blvd, Inglewood, CA 90303-1218 | 2019-12-06 |
| 1942787114 | Southern California Permanente Medical Group | Health Maintenance Organization | 3600 Rosemead Blvd, Rosemead, CA 91770-2066 | 2018-07-20 |
| 1164914115 | Southern California Permanente Medical Group | Health Maintenance Organization | 2700 W 120th St, Hawthorne, CA 90250-3388 | 2018-06-05 |
| 1013409036 | Southern California Permanente Medical Group | Health Maintenance Organization | 8999 Balboa Blvd, Northridge, CA 91325-2608 | 2018-06-05 |
| 1013409044 | Southern California Permanente Medical Group | Health Maintenance Organization | 2626 Colorado Blvd, Los Angeles, CA 90041-1070 | 2018-06-05 |
| Street Address |
19105 GOLDEN VALLEY RD |
| City | SANTA CLARITA |
| State | CA |
| Zip Code | 91387-1428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689810020 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 19105 Golden Valley Rd, Santa Clarita, CA 91387-1428 | 2009-01-06 |
| 1376910919 | Sara Choi | Pharmacist | 19105 Golden Valley Rd, Santa Clarita, CA 91387-1428 | 2015-08-31 |
| 1891123147 | Angela Yuem-hodge | Pharmacist | 19105 Golden Valley Rd, Santa Clarita, CA 91387-1428 | 2013-10-24 |
| 1598052755 | Keldon Kyle Wong | Pharmacist | 19105 Golden Valley Rd, Santa Clarita, CA 91387-1428 | 2011-07-07 |
| 1598051013 | Adam Seth Levine | Pharmacist | 19105 Golden Valley Rd, Santa Clarita, CA 91387-1428 | 2011-06-22 |
| 1942594312 | Marjorie Frencis Matilla Valderrama | Pharmacist | 19105 Golden Valley Rd, T-2030, Santa Clarita, CA 91387-1428 | 2011-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063980084 | Dorothy Olere Okesola | Registered Nurse | 18333 Dolan Way Ste 206, Santa Clarita, CA 91387 | 2018-11-07 |
| 1063864106 | Ki Acupuncture LLC | Acupuncturist | 18261 Soledad Canyon Road, Santa Clarita, CA 91387 | 2016-07-12 |
| 1053731570 | Gabriel Henao Dds, Inc | Dentist | 18772 Flying Tiger Dr, Canyon Country, CA 91387 | 2014-04-23 |
| 1013332162 | Anthony Jacob Syphus | Respiratory Therapist, Registered | 18432 Oak Canyon Rd Apt 626, Santa Clarita, CA 91387 | 2014-02-26 |
| 1356684385 | Hamayon Babary | Internal Medicine | Facey Medical Group, 14550 Soledad Canyon Road, Santa Clarita, CA 91387 | 2013-03-27 |
| 1427325596 | Carolyn Ann Conrad | Dental Hygienist | 18011 River Circle, Suite #4, Canyon Country, CA 91387 | 2011-11-17 |
| 1881980134 | Buenaventura Medina | Pharmacist | 19105 Golden Valley Road, Santa Clarita, CA 91387 | 2011-06-24 |
| 1174777437 | Ritsa Tsangarides | Marriage & Family Therapist | 16654 Soledad Canyon Rd, #302, Canyon Country, CA 91387 | 2008-11-12 |
| 1548421118 | Jennifer Marie Vaccaro | Chiropractor | 18352 Soledad Canyon Road, Canyon Country, CA 91387 | 2008-06-17 |
| 1427108612 | Linh Nhuphuong Vo | Dentist | 18717 Via Princessa Parkway, Canyon Country, CA 91387 | 2007-01-11 |
| Find all providers in zip 91387 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851705909 | Eldorado Community Service Center | Health Maintenance Organization | 24625 Arch St, Santa Clarita, CA 91321-1111 | 2014-06-17 |
| 1639590433 | Pedram N Soleimani Dds Inc. | Health Maintenance Organization | 24264 Main St, Santa Clarita, CA 91321-2911 | 2013-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677760 | Health and Heart | Health Maintenance Organization | 333 W Bastanchury Rd Ste 110, Fullerton, CA 92835-3433 | 2020-10-20 |
| 1144837139 | Essential California Ipa Inc. | Health Maintenance Organization | 1800 Studebaker Rd., 100, Cerritos, CA 90703 | 2020-09-24 |
| 1649881194 | Health Net Community Solutions Inc | Health Maintenance Organization | 21271 Burbank Blvd, Woodland Hills, CA 91367-6667 | 2020-08-10 |
| 1447868377 | Auxilium Health Network, Inc. | Health Maintenance Organization | 18000 Studebaker Dr, Cerritos, CA 90703 | 2020-07-16 |
| 1154939098 | Absolute Medical Partners, A Professional Medical Corporation | Health Maintenance Organization | 18000 Studebaker Rd., Ste 100, Cerritos, CA 90703 | 2020-07-16 |
| 1700494606 | Rapha Ipa, Inc. | Health Maintenance Organization | 1010 Crenshaw Blvd Ste 200, Torrance, CA 90501-2058 | 2020-07-16 |
| 1548883788 | Careplan Ipa, Inc | Health Maintenance Organization | 18000 Studebaker Road, Suite 100, Cerritos, CA 90703-7929 | 2020-05-22 |
| 1982227450 | Zeev Neumeier | Health Maintenance Organization | 1691 Ward St, Berkeley, CA 94703-1827 | 2020-05-19 |
| 1669009247 | Doctor's Managed Ipa, Inc | Health Maintenance Organization | 4959 Palo Verde St Ste 101b, Montclair, CA 91763-2331 | 2020-03-24 |
| 1710512298 | United Physicians Association Inc | Health Maintenance Organization | 14803 Badlona Dr, La Mirada, CA 90638-3834 | 2020-03-05 |
| Find all providers with the same taxonomy | ||||
| City | SANTA CLARITA |
| Zip Code | 91387 |
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| 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.