SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP (NPI# 1952333460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952333460 |
| Entity Type | Organization |
| Organization Name | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Practice Address |
441 N Lakeview Ave Anaheim CA 92807-3028 |
| Mailing Address |
393 E Walnut St 3rd Fl Phr Group & Provider Enrollment Pasadena CA 91188-0001 |
| Practice Telephone | 7142794000 |
| Mailing Telephone | 6264057914 |
| Mailing Fax Number | 6264054600 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2012-02-01 |
| Authorized Official Name | EDWARD M ELLISON JR. (EXECUTIVE MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6264057914 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0018330 | 05 |
| 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 |
| 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 |
| Street Address |
441 N LAKEVIEW AVE |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92807-3028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013911551 | Jennifer Linzmeyer | Pediatrics | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2005-06-13 |
| 1255609418 | Sheila Elizabeth Ford | Pediatrics | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2011-12-02 |
| 1982909222 | Sarah Elisabeth Gomez | Nurse Practitioner | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2011-01-18 |
| 1265664635 | Beatrix M Schieffer | Psychologist | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2009-08-18 |
| 1598992307 | Minhee Song | Physical Therapist | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2009-06-18 |
| 1992949333 | Carol King | Nurse Practitioner | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2009-04-29 |
| 1144463951 | Maria Eugenia Campi | Speech-Language Pathologist | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2009-04-08 |
| 1356587547 | Jose Pena | Physical Therapy Assistant | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2008-12-18 |
| 1467607929 | Grant Masaru Yasui | Anesthesiology | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2008-11-25 |
| 1255583696 | Claudio Cassinelli | Social Worker | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2008-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400759 | Katie Greasby | Marriage & Family Therapist | 509 S. Villa Real Dr. #117, Anaheim Hills, CA 92807 | 2020-09-08 |
| 1386201481 | Joseph Hasrouni | Counselor | Cvs 9753, 5735 E. La Palma Ave, Anaheim, CA 92807 | 2019-05-23 |
| 1144739277 | Luis Antonio Perez | Social Worker | 2112 E 4th St. #107, Santa Ana, CA 92807 | 2017-09-20 |
| 1548781883 | F.foroutan Dds Inc. | Dentist | 5031 E. Orangethorpe Ave., Suite # B-2, Anaheim Hills, CA 92807 | 2017-06-27 |
| 1487101515 | Eloy Ramirez | Counselor | 233 S. Quintana Drive, Anaheim, CA 92807 | 2016-09-07 |
| 1255786448 | K's Loving Care | Custodial Care Facility | 1211 N Amelia St, Anaheim, CA 92807 | 2016-04-26 |
| 1265806673 | Jessica Vickers | Marriage & Family Therapist | 5500 E Santa Ana Canyon Rd Ste 216, Anaheim, CA 92807 | 2015-11-23 |
| 1033596796 | Donovan Garcia Teves | Specialist | 1261 Lakeview Ave., Suite 'a', Anaheim Hills, CA 92807 | 2015-05-01 |
| 1235544354 | Nicole Reaves | Occupational Therapist | 5630 E Santa Ana Canyon Rd Ste 105, Anaheim, CA 92807 | 2014-06-26 |
| 1093143471 | Behrang E Toubak | Counselor | 6381 E Via Arboles, Anaheim, CA 92807 | 2013-10-23 |
| Find all providers in zip 92807 | ||||
| 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 |
|---|---|---|---|---|
| 1215295753 | Caremore | Health Maintenance Organization | 1182 N. Euclid St., Anaheim, CA 92801 | 2012-05-02 |
| 1144464710 | Simple Solutions Errand Services, LLC | Health Maintenance Organization | 1279 N Willamette Dr, Anaheim, CA 92807-2424 | 2009-04-28 |
| 1457548091 | Access Managed Care | Health Maintenance Organization | 2300 E Katella Ave Ste 325, Anaheim, CA 92806-6064 | 2007-09-27 |
| 1144769605 | Nexus Health Medical Group Inc | Health Maintenance Organization | 5100 E La Palma Ave, Ste 201, Anaheim, CA 92807-2081 | 2017-02-16 |
| 1346789195 | Sarah Hwang | Health Maintenance Organization | 3440 E La Palma Ave, Anaheim, CA 92806-2020 | 2017-02-13 |
| 1225499510 | Kaiser Permanente | Health Maintenance Organization | 3440 E La Palma Ave, Anaheim, CA 92806-2020 | 2016-03-14 |
| 1427449750 | Access Medical Group Inc. | Health Maintenance Organization | 2300 E Katella Ave Ste 325, Anaheim, CA 92806-6064 | 2015-02-09 |
| 1417348749 | Access Medical Group-santa Monica Inc. | Health Maintenance Organization | 2300 E Katella Ave Ste 325, Anaheim, CA 92806-6064 | 2015-02-09 |
| 1720409881 | Henry Hoang Tran, Dmd, Inc. | Health Maintenance Organization | 545 S Knott Ave, Anaheim, CA 92804-2807 | 2013-12-17 |
| 1679911895 | Hankook Ipa | Health Maintenance Organization | 2654 W La Palma Ave, Anaheim, CA 92801-2601 | 2013-06-10 |
| Find all providers in ANAHEIM | ||||
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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.