PERMANENTE MEDICAL GROUP, INC. (NPI# 1083777163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083777163 |
| Entity Type | Organization |
| Organization Name | PERMANENTE MEDICAL GROUP, INC. |
| Practice Address |
1725 Eastshore Hwy Berkeley CA 94710-1703 |
| Mailing Address |
Tpmg Financial Management 1950 Franklin St, 18th Floor Oakland CA 94612-5103 |
| Practice Telephone | 5105595116 |
| Mailing Telephone | 5109871000 |
| Enumeration Date | 2006-12-19 |
| 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. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 10751 & 3237 | CA | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851454011 | Permanente Medical Group, Inc. | Clinical Medical Laboratory | 914 Marina Way S, Richmond, CA 94804-3739 | 2006-12-19 |
| Street Address |
1725 EASTSHORE HWY |
| City | BERKELEY |
| State | CA |
| Zip Code | 94710-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801972336 | Xiaoyuan Liu | Pathology | 1725 Eastshore Hwy, Berkeley, CA 94710-1798 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740836857 | Elizabeth B. Isono | Occupational Therapy Assistant | 2550 9th Street, Suite115, Berkeley, CA 94710 | 2019-08-14 |
| 1861967622 | Liliana Teves Sierra | Nurse Practitioner | 837 Addison St, Berkeley, CA 94710 | 2018-10-09 |
| 1841774213 | Erin Royle | Nurse Practitioner | 800 Dwight Way, Berkeley, CA 94710 | 2018-09-20 |
| 1790293389 | Nga Thien Ho | Pharmacist | 1500 Gilman St, Berkeley, CA 94710 | 2018-01-17 |
| 1942710140 | Laila Rania Tannura | Nurse Practitioner | 837 Addison St., Berkeley, CA 94710 | 2017-10-03 |
| 1578016556 | Elizaveta Pachepsky | Counselor | 1061 Eastshore Hwy, Albany, CA 94710 | 2016-07-26 |
| 1245624832 | Jody Slendebroek | Behavioral Analyst | 2560 9th Street Suite 220a, Ste Consultants LLC, Berkeley, CA 94710 | 2015-03-23 |
| 1104234731 | Felicia Ma | Physician Assistant | 2344 Sixth Street, Berkeley, CA 94710 | 2014-07-28 |
| 1699197228 | Henriette Agnes Lenssen | Acupuncturist | 809 Delaware St, Berkeley, CA 94710 | 2014-01-16 |
| 1598198350 | Fiona C. Lundy | Social Worker | 837 Addison Street, Berkeley, CA 94710 | 2013-08-15 |
| Find all providers in zip 94710 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831381623 | Sutter East Bay Medical Foundation | Clinical Medical Laboratory | 2850 Telegraph Avenue, Suite 130, Berkeley, CA 94705-1159 | 2007-08-15 |
| 1588629919 | Pathology Services Inc. | Clinical Medical Laboratory | 3017 Telegraph Ave, Suite 100, Berkeley, CA 94705-2049 | 2006-04-19 |
| 1235114067 | Bayer Reference Testing Laboratory | Clinical Medical Laboratory | 725 Potter St, Berkeley, CA 94710-2722 | 2005-12-14 |
| 1295248193 | Siemens Healthcare Laboratory LLC | Clinical Medical Laboratory | 725 Potter St, Berkeley, CA 94710-2722 | 2017-11-14 |
| 1174062160 | Labone LLC | Clinical Medical Laboratory | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2017-02-23 |
| 1861848046 | Sutter Bay Medical Foundation | Clinical Medical Laboratory | 2850 Telegraph Ave, Suite 130, Berkeley, CA 94705-1192 | 2016-05-06 |
| 1639523004 | Sutter Bay Hospitals | Clinical Medical Laboratory | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2016-04-21 |
| 1215191002 | Unilab Corporation | Clinical Medical Laboratory | 2999 Regent St, Suite 101, Berkeley, CA 94705-2146 | 2008-07-11 |
| 1659552776 | Siemens Clinical Laboratory | Clinical Medical Laboratory | 725 Potter St, Berkeley, CA 94710-2722 | 2007-11-16 |
| 1013906221 | Sutter East Bay Hospitals | Clinical Medical Laboratory | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2005-10-19 |
| Find all providers in BERKELEY | ||||
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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.