SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP (NPI# 1346328853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346328853 |
Entity Type | Organization |
Organization Name | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
Practice Address |
4580 Electronics Pl Los Angeles CA 90039-1008 |
Mailing Address |
393 E Walnut St 3rd Fl Phr Group & Provider Enrollment Pasadena CA 91188-0001 |
Practice Telephone | 8185025940 |
Mailing Telephone | 6264057914 |
Mailing Fax Number | 6264054600 |
Enumeration Date | 2006-11-01 |
Last Update Date | 2012-02-01 |
Authorized Official Name | EDWARD M ELLISON JR. (EXECUTIVE MEDICAL DIRECTOR) |
Authorized Official Telephone | 6264057914 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
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 |
4580 ELECTRONICS PL |
City | LOS ANGELES |
State | CA |
Zip Code | 90039-1008 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326027285 | Kimberly Anne Wendt | Genetic Counselor, MS | 4580 Electronics Pl, Scpmg Genetic Testing, Los Angeles, CA 90039-1008 | 2006-01-10 |
1639780075 | Annina Cooper | Genetic Counselor, MS | 4580 Electronics Pl, Los Angeles, CA 90039-1008 | 2020-08-10 |
1124269717 | Southern California Permanente Medical Group | Eyewear Supplier (Equipment, not the service) | 4580 Electronics Pl, Los Angeles, CA 90039-1008 | 2009-03-12 |
1154506939 | Ruan T Ramjit | Pathology | 4580 Electronics Pl, Los Angeles, CA 90039-1008 | 2007-12-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891298642 | Shlomit Yelin-arber | Marriage & Family Therapist | 3401 Glendale Blvd Rm 2, Los Angeles, CA 90039 | 2018-03-16 |
1306385646 | Robert Dao | Pharmacist | 11115 S Main St, Los Angeles, Ca, Los Angeles, CA 90039 | 2017-02-20 |
1528437951 | Marcos Farias | Licensed Vocational Nurse | 3108 Hollydale Drive Apt 102, Los Angeles, CA 90039 | 2015-09-16 |
1578962312 | Alexandria Trubatisky | Nurse Practitioner | 3026 Casitas Ave, Los Angeles, CA 90039 | 2014-08-18 |
1780003350 | Amanda Cohen | Acupuncturist | 3036 Glendale Blvd., Los Angeles, CA 90039 | 2014-04-10 |
1710231568 | Alan Russell Hedman | Counselor | 3352 Larga Ave, Los Angeles, CA 90039 | 2012-11-01 |
1427317486 | Christopher Peabody | Emergency Medicine | 1200 North State Street Room 1011, Los Angeles, CA 90039 | 2012-05-11 |
1447529359 | Janein Chavez | Marriage & Family Therapist | 3111 Los Feliz Blvd Ste 205, Los Angeles, CA 90039 | 2011-12-21 |
1265727358 | Erzsebet Olah | Licensed Vocational Nurse | 2586 Lake-view Ave, Los Angeles, CA 90039 | 2011-06-16 |
1750691168 | Sharon Furman | Specialist | 3147 Glenmanor Place, 145d, Los Angeles, CA 90039 | 2010-10-19 |
Find all providers in zip 90039 |
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 |
---|---|---|---|---|
1518565514 | Clarity Mobile Venture LLC | Clinical Medical Laboratory | 651 World Way, Los Angeles, CA 90045-5815 | 2020-10-12 |
1134748312 | Steaman Laboratory Incorporated | Clinical Medical Laboratory | 3631 Crenshaw Blvd Ste 103, Los Angeles, CA 90016-4869 | 2020-04-08 |
1528619970 | Community Laboratory Inc | Clinical Medical Laboratory | 1919 W 7th St Unit L, Los Angeles, CA 90057-4103 | 2019-09-26 |
1982173423 | Sequence46, LLC | Clinical Medical Laboratory | 5777 W Century Blvd Ste 540, Los Angeles, CA 90045-5688 | 2018-11-14 |
1699271502 | Medbetter Health Solutions, LLC | Clinical Medical Laboratory | 11669 Rochester Ave Apt 101, Los Angeles, CA 90025-2381 | 2018-04-02 |
1144769068 | Flow Health Laboratories LLC | Clinical Medical Laboratory | 8885 Venice Blvd Ste 104, Los Angeles, CA 90034-3242 | 2017-02-13 |
1699226415 | Kathleen Ann Kelly | Clinical Medical Laboratory | David Geffen Medical Ctr Ucla 10833 Le Conte Ave, Mailroom A3-215 Chs, Mailcode 173216, Los Angeles, CA 90095-1732 | 2016-10-17 |
1306203229 | Quick and Easy Hplebotomy Services, LLC | Clinical Medical Laboratory | 9029 Airport Blvd Unit 91896, Los Angeles, CA 90009-4904 | 2016-01-22 |
1992161632 | Pachulski Industries Inc | Clinical Medical Laboratory | 100 Copa De Oro Rd, Los Angeles, CA 90077-3802 | 2016-01-11 |
1851761282 | Dynamic Clinical Laboratories, Inc. | Clinical Medical Laboratory | 516 N Larchmont Blvd, Los Angeles, CA 90004-1306 | 2015-09-28 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90039 |
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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.