PERMANENTE MEDICAL GROUP INC (NPI# 1235226531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235226531 |
| Entity Type | Organization |
| Organization Name | PERMANENTE MEDICAL GROUP INC |
| Practice Address |
901 Nevin Richmond CA 94801-3143 |
| Mailing Address |
1950 Franklin St 18th Floor Tpmg Financial Mgmt Oakland CA 94612-5103 |
| Practice Telephone | 5103071555 |
| Mailing Telephone | 5109871000 |
| Enumeration Date | 2006-10-06 |
| 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 |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZZ75900Z | 05 | |
| CA | ZZZ20728Z | 05 | |
| CA | GR001572B | 05 | |
| CA | ZZZ20724Z | 05 | |
| CA | GR001572S | 05 | |
| CA | GROO77361 | 05 | |
| CA | ZZZ20731Z | 05 | |
| CA | ZZZ20725Z | 05 | |
| CA | ZZZ20737Z | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841373800 | Permanente Medical Group Inc | Anesthesiology | 2238 Geary, San Francisco, CA 94116-3416 | 2006-10-23 |
| 1336222397 | Permanente Medical Group Inc | Anesthesiology | 975 Sereno Drive, Vallejo, CA 94589-2441 | 2006-10-23 |
| 1639252604 | Permanente Medical Group Inc | Anesthesiology | 1190 Veterans Blvd, Redwood City, CA 94063-2037 | 2006-10-23 |
| 1548343510 | Permanente Medical Group Inc | Surgery | 7373 West Lane, Stockton, CA 95210-3377 | 2006-10-23 |
| 1073606299 | Permanente Medical Group Inc | Ophthalmology | 710 Lawrence Expressway, Santa Clara, CA 95051-5173 | 2006-10-02 |
| Street Address |
901 NEVIN |
| City | RICHMOND |
| State | CA |
| Zip Code | 94801-3143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154815082 | Denise Carey | Social Worker | 900 Nevin, Richmond, CA 94801 | 2018-06-14 |
| 1063909414 | Sunjae Jung | Dentist | 265 16th St, Richmond, Richmond, CA 94801 | 2018-04-20 |
| 1780100479 | Daniel Chen | Dentist | 520 Seacliff Pl, Richmond, CA 94801 | 2017-08-15 |
| 1790043347 | Kanwal Ambar Merchant | Pediatrics | 150 Harbor Way, Richmond, CA 94801 | 2012-05-01 |
| 1114182607 | Christopher Gibney | Acupuncturist | 723 Western Drive, Richmond, CA 94801 | 2008-07-23 |
| 1134320732 | Beverly Jo Skipper | Technician/Technologist | 322 Harbour Way, Suite 2, Richmond, CA 94801 | 2007-05-30 |
| 1306058383 | Judy S. Chin | Acupuncturist | 139 W. Richmond Ave., Suite 7, Pt. Richmond, CA 94801 | 2007-05-04 |
| 1720154636 | Marianne Philippek | Nurse Practitioner | 901 Nevin Avenue, Richmond, CA 94801 | 2006-11-24 |
| 1578645511 | Bridget Grace Moran | Registered Nurse | 901nevin Ave, Building C, 2nd Floor, Richmond, CA 94801 | 2006-10-19 |
| 1891875654 | Phyllis W. Zisman | Pharmacist | Kaiser Foundation Hospital, 901 Nevin Ave., Richmond, CA 94801 | 2006-10-16 |
| Find all providers in zip 94801 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421538 | Doctors Who Care Pllc | Internal Medicine | 1601 Main St Ste 309, Richmond, TX 77469-3230 | 2020-09-11 |
| 1093367245 | Maya Susan Varkey | Internal Medicine | 8119 Cheyenne Hills Trl, Richmond, TX 77406-1626 | 2019-07-09 |
| 1780164426 | Kelly Clinic | Internal Medicine | 5503 Fm 359 Rd Ste C, Richmond, TX 77406-7835 | 2018-08-21 |
| 1013411032 | Graham Philip Mcrary | Internal Medicine | Vcuhs Dept of Pm&r, 9860667, 1250 E. Marshall Street, Richmond, VA 23298-0000 | 2018-03-23 |
| 1306340153 | Eric Sheldon Jacobson | Internal Medicine | 2956 Hathaway Rd, Apt. 1101, Richmond, VA 23225 | 2018-03-19 |
| 1922528504 | Erin A Chung | Internal Medicine | 1050 Reid Parkway, Suite 300, Reid Hospital Family Medicine Residency, Richmond, IN 47374 | 2017-06-23 |
| 1801322821 | Adnan Alam Khan | Internal Medicine | 1721 Hanover Ave Unit A, Richmond, VA 23220-3505 | 2017-05-11 |
| 1568900439 | John Edward Tysell Jr. | Internal Medicine | 437 Carlston Street, Richmond, CA 94805 | 2017-02-10 |
| 1457898702 | Michael Ngo D.o. American Board of Internal Medicine Certified Pllc | Internal Medicine | 11130 Drumadoon Dr, Richmond, TX 77407-2036 | 2017-01-25 |
| 1346796091 | Thaer Saqer Mustafa Abdelfattah | Internal Medicine | Vcuhs Dept of Gastroenterology Fellowship, 980509, 1250 E. Marshall Street, Richmond, VA 23298-0509 | 2016-08-31 |
| Find all providers in RICHMOND | ||||
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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.