SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP (NPI# 1821635079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821635079 |
| Entity Type | Organization |
| Organization Name | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Practice Address |
3471 W Century Blvd Inglewood CA 90303-1218 |
| Mailing Address |
393 E Walnut St Gpeu 3rd Floor Pasadena CA 91188-1070 |
| Practice Telephone | 8776080044 |
| Mailing Telephone | 8776080044 |
| Mailing Fax Number | 8775140903 |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2019-12-06 |
| Authorized Official Name | CANDACE MCMULLIN (DIRECTOR PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 8776080044 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Target Clinic Medical Associates | Other Name - Individual/Organization |
| 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 |
| 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 |
| 1013409044 | Southern California Permanente Medical Group | Health Maintenance Organization | 2626 Colorado Blvd, Los Angeles, CA 90041-1070 | 2018-06-05 |
| Street Address |
3471 W CENTURY BLVD |
| City | INGLEWOOD |
| State | CA |
| Zip Code | 90303-1218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518989300 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 3471 W Century Blvd, Inglewood, CA 90301-1218 | 2006-07-24 |
| 1508238437 | Juan Melendez | Pharmacist | 3471 W Century Blvd, Cvs #16670, Inglewood, CA 90303-1218 | 2015-10-30 |
| 1649674086 | Olayinka Taiwo | Pharmacist | 3471 W Century Blvd, Inglewood, CA 90303-1218 | 2014-10-14 |
| 1497032197 | Helen Yu | Pharmacist | 3471 W Century Blvd, Inglewood, CA 90303-1218 | 2011-11-08 |
| 1326334681 | Jessica Poovan | Pharmacist | 3471 W Century Blvd, T-1329, Inglewood, CA 90303-1218 | 2011-06-24 |
| 1477846434 | Mary D Bradley | Pharmacist | 3471 W Century Blvd, Inglewood, CA 90303-1218 | 2011-05-24 |
| 1275832990 | Century Park Optometry Apc | Optometrist | 3471 W Century Blvd, Inglewood, CA 90303-1218 | 2011-03-21 |
| 1801112735 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 3471 W Century Blvd, Inglewood, CA 90303-1218 | 2010-04-16 |
| 1083877534 | Karen Sun | Optometrist | 3471 W Century Blvd, Inglewood, CA 90303-1218 | 2008-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972085983 | Jennese Bacon | Specialist/Technologist | 10932 Casimir Ave, Inglewood, CA 90303 | 2018-09-06 |
| 1174032965 | Billy Campbell | Respiratory Therapist, Registered | 11800 Lemoli Ave, Inglewood, CA 90303 | 2017-09-25 |
| 1801347307 | Michelle Adams | Social Worker | 2930 W. Imperial Hwy., Ste. 310, Inglewood, CA 90303 | 2016-10-19 |
| 1740657345 | Raiji Gaines I | Counselor | 2030 W Imperial Hwy Suite 511, Inglewood, CA 90303 | 2015-08-31 |
| 1427336221 | Aaa Dentistry Center | Dentist | 2646 West Imperial Hwy, Inglewood, CA 90303 | 2011-07-27 |
| 1275845232 | Leah Aguirre Montoya | Registered Nurse | 3451 W. Century Blvd., Suite #b-1, Inglewood, CA 90303 | 2010-07-07 |
| 1609008945 | Olawumi Rotimi | Counselor | 3211 West Imperila Hiighway, 3211 West Imperial Highway, Inglewood, CA 90303 | 2009-08-20 |
| 1568694289 | Philip Michael Bockarie | Counselor | 3211 West Imperial Highway, Inglewood, CA 90303 | 2009-08-13 |
| 1942407960 | Los Angeles Drug Treatment Center | Counselor | 3211 West Imperial Hwy, Same As Mailing Address, Inglewood, CA 90303 | 2007-07-02 |
| 1700096369 | Development Specialty Projects, Inc. | Clinic/Center | 3200 West 104 St, Ingelwood, CA 90303 | 2007-05-23 |
| Find all providers in zip 90303 | ||||
| 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 |
|---|---|---|---|---|
| 1770800963 | Fidelity Outpatient Recovery Center Inc. | Health Maintenance Organization | 718 E Manchester Blvd, Suite B, Inglewood, CA 90301-1987 | 2010-04-27 |
| 1639209257 | Total Healthcare Services | Health Maintenance Organization | 302 E Manchester Blvd, Suite 2, Inglewood, CA 90301-1815 | 2007-03-06 |
| 1154645208 | Jikole Helping Hands, Inc. | Health Maintenance Organization | 317 E Hillcrest Blvd, Inglewood, CA 90301-2405 | 2010-03-18 |
| 1871825869 | Fountain Hope & Help for Youth | Health Maintenance Organization | 2930 W Imperial Hwy, Ste 510, Inglewood, CA 90303-3143 | 2010-02-02 |
| 1871772251 | Lighthouse of La Inc. | Health Maintenance Organization | 2930 W Imperial Hwy, Suite 200m, Inglewood, CA 90303-3143 | 2007-11-01 |
| 1619001245 | Shahnaz Keramati M D Inc | Health Maintenance Organization | 10507 Hawthorne Blvd, Inglewood, CA 90304-1911 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677760 | Health and Heart | Health Maintenance Organization | 333 W Bastanchury Rd Ste 110, Fullerton, CA 92835-3433 | 2020-10-20 |
| 1144837139 | Essential California Ipa Inc. | Health Maintenance Organization | 1800 Studebaker Rd., 100, Cerritos, CA 90703 | 2020-09-24 |
| 1649881194 | Health Net Community Solutions Inc | Health Maintenance Organization | 21271 Burbank Blvd, Woodland Hills, CA 91367-6667 | 2020-08-10 |
| 1447868377 | Auxilium Health Network, Inc. | Health Maintenance Organization | 18000 Studebaker Dr, Cerritos, CA 90703 | 2020-07-16 |
| 1154939098 | Absolute Medical Partners, A Professional Medical Corporation | Health Maintenance Organization | 18000 Studebaker Rd., Ste 100, Cerritos, CA 90703 | 2020-07-16 |
| 1700494606 | Rapha Ipa, Inc. | Health Maintenance Organization | 1010 Crenshaw Blvd Ste 200, Torrance, CA 90501-2058 | 2020-07-16 |
| 1548883788 | Careplan Ipa, Inc | Health Maintenance Organization | 18000 Studebaker Road, Suite 100, Cerritos, CA 90703-7929 | 2020-05-22 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.