SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP (NPI# 1316572753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316572753 |
| Entity Type | Organization |
| Organization Name | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Practice Address |
9100 Rosedale Hwy Bakersfield CA 93312-2143 |
| Mailing Address |
393 East Walnut St Gpeu 3rd Floor Pasadena CA 91188-0001 |
| Practice Telephone | 8776080044 |
| Mailing Telephone | 8776080044 |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | CANDACE MCMULLIN (DIRECTOR PROVIDER ENROLLMENT) |
| 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 |
| 1821635079 | Southern California Permanente Medical Group | Health Maintenance Organization | 3471 W Century Blvd, Inglewood, CA 90303-1218 | 2019-12-06 |
| 1316409410 | Southern California Permanente Medical Group | Health Maintenance Organization | 19105 Golden Valley Rd, Santa Clarita, CA 91387-1428 | 2019-04-05 |
| 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 |
9100 ROSEDALE HWY |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93312-2143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548212426 | Son Nguyen | Optometrist | 9100 Rosedale Hwy, Bakersfield, CA 93312-2143 | 2006-05-17 |
| 1316374895 | Lori Reiko Anami | Pharmacist | 9100 Rosedale Hwy, Bakersfield, CA 93312-2143 | 2013-09-30 |
| 1053672105 | Sean Fischer | Pharmacist | 9100 Rosedale Hwy, T-1384, Bakersfield, CA 93312-2143 | 2012-06-05 |
| 1518223478 | Rachel Maria Ellis | Pharmacist | 9100 Rosedale Hwy, Bakersfield, CA 93312-2143 | 2012-04-04 |
| 1982998167 | Jamie Elizabeth Proctor | Pharmacist | 9100 Rosedale Hwy, T1384, Bakersfield, CA 93312-2143 | 2011-06-05 |
| 1285785212 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 9100 Rosedale Hwy, Bakersfield, CA 93312-2143 | 2007-01-16 |
| 1538181227 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 9100 Rosedale Hwy, Bakersfield, CA 93312-2143 | 2006-07-24 |
| 1710907118 | Son Nguyen, O.d., Inc. | Optometrist | 9100 Rosedale Hwy, Bakersfield, CA 93312-2143 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114574225 | Arielle San Antonio | Behavior Technician | 8302 Expresso Drive, Suite 100, Bakersfield, CA 93312 | 2019-08-22 |
| 1295391258 | Sierra Sandra-faye Myers-caldarella | Behavioral Analyst | 8302 Expresso Dr., Suite 100, Bakersfield, CA 93312 | 2019-05-15 |
| 1396286670 | Kern Medical | General Acute Care Hospital | 12716 Sable Point Drive, Bakersfield, CA 93312 | 2017-03-20 |
| 1629511886 | Prime Pulmonary & Sleep Medicine Center, Inc | Clinic/Center | 8305 Brimhall Rd. #1601, Bakersfield, CA 93312 | 2016-11-21 |
| 1427424563 | Jieun Park | Dentist | 4201 Jewetta Ave. A5, Bakersfield, CA 93312 | 2015-08-12 |
| 1710366083 | Monique Cleveland | Counselor | 9830 Brimhall Rd Unit 100, Bakersfield, CA 93312 | 2015-05-20 |
| 1063800985 | Global Non Medical Transportatin,llc | Non-emergency Medical Transport (VAN) | 5204 Sand Castle Ct, Bakersfield, CA 93312 | 2014-12-30 |
| 1508270083 | Joe Y Vuong | Pharmacist | 339 E Pine St ., Lodi, CA 93312 | 2014-06-12 |
| 1992054092 | H. Norman Wright | Counselor | 12200 April Ann Ave, Bakersfield, CA 93312 | 2012-09-05 |
| 1154682987 | Bakersfield Community Hospice, Inc. | Home Health | 3400 Calloway Drive, Suite #100, Bakersfield, CA 93312 | 2012-06-07 |
| Find all providers in zip 93312 | ||||
| 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 |
|---|---|---|---|---|
| 1942558374 | La Familia Clinica | Health Maintenance Organization | 1326 H St Unit1, Bakersfield, CA 93304-1326 | 2012-08-15 |
| 1881822377 | New Branches 4 Life | Health Maintenance Organization | 1415 18th St Ste 522, Bakersfield, CA 93301-4443 | 2009-06-23 |
| 1174619282 | Rex H Truong | Health Maintenance Organization | 8800 Ming Ave., Bakersfield, CA 93311 | 2006-10-05 |
| 1861424376 | Southern California Permanente Medical Group | Health Maintenance Organization | 3733 San Dimas St, Bakersfield, CA 93301-1407 | 2006-07-07 |
| 1841268455 | Kyaw Tun | Health Maintenance Organization | 8800 Ming Ave, Bakersfield, CA 93311-1308 | 2006-03-09 |
| 1851914378 | Universal Healthcare Ipa, Inc. | Health Maintenance Organization | 8501 Brimhall Rd Bldg 100, Bakersfield, CA 93312-2327 | 2020-05-19 |
| 1851823702 | Clinica Sierra Vista | Health Maintenance Organization | 1509 E 11th St, Bakersfield, CA 93307-1269 | 2017-03-30 |
| 1629371505 | Rowena Mary Yong | Health Maintenance Organization | 1800 Mount Vernon Ave, 2nd Floor, Bakersfield, CA 93306-3302 | 2010-12-14 |
| 1588804777 | Independence Ipa, A Medical Group, Inc. Dba Independence Medical Group | Health Maintenance Organization | 1801 16th St, Suite B, Bakersfield, CA 93301-5002 | 2009-02-27 |
| 1275657827 | Golden Empire Managed Care, A Medical Group, Inc | Health Maintenance Organization | 4550 California Ave, Ste 500, Bakersfield, CA 93309-7012 | 2007-03-19 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93312 |
Please comment or provide details below to improve the information on SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP.
| 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.