THE PERMANENTE MEDICAL GROUP, INC (NPI# 1669548657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669548657 |
| Entity Type | Organization |
| Organization Name | THE PERMANENTE MEDICAL GROUP, INC |
| Practice Address |
710 Lawrence Expy Santa Clara CA 95051-5173 |
| Mailing Address |
11811 Venice Blvd Apt 211 Los Angeles CA 90066-3933 |
| Practice Telephone | 4088511000 |
| Mailing Telephone | 4082303222 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. JACQUELYN QUINN (HR ADMINISTRATOR) |
| Authorized Official Telephone | 5106256266 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | A88751 | CA | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699951632 | The Permanente Medical Group, Inc | General Acute Care Hospital | 1800 Harrison St Fl 7, Oakland, CA 94612-3466 | 2008-01-20 |
| Street Address |
710 LAWRENCE EXPY |
| City | SANTA CLARA |
| State | CA |
| Zip Code | 95051-5173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699771030 | Lucy Song | Internal Medicine | 710 Lawrence Expy, Oncology Dept #440, Santa Clara, CA 95051-5173 | 2005-06-21 |
| 1124638465 | Eyad Jabra Kawwa | Physical Therapist | 710 Lawrence Expy, Santa Clara, CA 95051-5173 | 2020-08-02 |
| 1396374112 | Christopher Glen Low | Student in an Organized Health Care Education/Training Program | 710 Lawrence Expy, Santa Clara, CA 95051-5173 | 2020-04-03 |
| 1780213603 | Jeannie Gail Evangelista Radoc | Student in an Organized Health Care Education/Training Program | 710 Lawrence Expy, Santa Clara, CA 95051-5173 | 2020-04-02 |
| 1568091494 | David Feldman | Student in an Organized Health Care Education/Training Program | 710 Lawrence Expy, Santa Clara, CA 95051-5173 | 2020-04-02 |
| 1609404847 | Steven M Herron | Student in an Organized Health Care Education/Training Program | 710 Lawrence Expy, Santa Clara, CA 95051-5173 | 2020-04-01 |
| 1023646114 | Amber O'connor | Student in an Organized Health Care Education/Training Program | 710 Lawrence Expy, Santa Clara, CA 95051-5173 | 2020-04-01 |
| 1780212068 | Andrew Le | Student in an Organized Health Care Education/Training Program | 710 Lawrence Expy, Department 384 Gme, Santa Clara, CA 95051-5173 | 2020-03-31 |
| 1811525405 | Mahza Alam | Student in an Organized Health Care Education/Training Program | 710 Lawrence Expy, Santa Clara, CA 95051-5173 | 2020-03-30 |
| 1003444514 | Stuart Andrew Green | Student in an Organized Health Care Education/Training Program | 710 Lawrence Expy, Santa Clara, CA 95051-5173 | 2020-03-30 |
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| 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 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 |
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|---|---|---|---|---|
| 1982997276 | Byz Natural Health Care Corporation | Health Maintenance Organization | 20 Harold Ave, Suite#48, Santa Clara, CA 95050-2067 | 2011-05-19 |
| 1346870359 | Northern California Physicians Group, Inc. | Health Maintenance Organization | 2344 El Camino Real, Santa Clara, CA 95050-4072 | 2020-01-17 |
| 1144657289 | Pathway Society, Inc | Health Maintenance Organization | 1659 Scott Blvd Ste 30, Santa Clara, CA 95050-4137 | 2013-10-03 |
| 1669548863 | Kaiser Permanent | Health Maintenance Organization | 710 Lawrence Expy, Santa Clara, CA 95051-5173 | 2006-11-28 |
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| 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 |
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| City | SANTA CLARA |
| Zip Code | 95051 |
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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.