SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP (NPI# 1861424376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861424376 |
| Entity Type | Organization |
| Organization Name | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Practice Address |
3733 San Dimas St Bakersfield CA 93301-1407 |
| Mailing Address |
393 E Walnut St 3rd Fl Phr Group & Provider Enrollment Pasadena CA 91188-0001 |
| Practice Telephone | 8003535400 |
| 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 | GR0043240 | 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 |
| 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 |
| 1013409044 | Southern California Permanente Medical Group | Health Maintenance Organization | 2626 Colorado Blvd, Los Angeles, CA 90041-1070 | 2018-06-05 |
| Street Address |
3733 SAN DIMAS ST |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93301-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003149162 | John Garza | Social Worker | 3733 San Dimas St, Bakersfield, CA 93301-1407 | 2009-09-08 |
| 1104019637 | Alice Jin Ai Liu | Pharmacist | 3733 San Dimas St, Bakersfield, CA 93301-1407 | 2007-08-17 |
| 1104024181 | Jeffrey Bryant | Marriage & Family Therapist | 3733 San Dimas St, Bakersfield, CA 93301-1407 | 2007-07-11 |
| 1093913949 | Ceri M Hulugalle | Marriage & Family Therapist | 3733 San Dimas St, Bakersfield, CA 93301-1407 | 2007-07-03 |
| 1639377583 | Barbara Shumaker | Social Worker | 3733 San Dimas St, Bakersfield, CA 93301-1407 | 2007-07-03 |
| 1407053366 | Susan Whitney | Marriage & Family Therapist | 3733 San Dimas St, Bakersfield, CA 93301-1407 | 2007-07-02 |
| 1891992954 | Delia Salgado | Marriage & Family Therapist | 3733 San Dimas St, Bakersfield, CA 93301-1407 | 2007-06-29 |
| 1275730699 | Tamara K Turner | Marriage & Family Therapist | 3733 San Dimas St, Bakersfield, CA 93301-1407 | 2007-06-29 |
| 1841494986 | Kenneth D Harlander | Social Worker | 3733 San Dimas St, Bakersfield, CA 93301-1407 | 2007-06-13 |
| 1912101056 | Parveen Gill | Social Worker | 3733 San Dimas St, Bakersfield, CA 93301-1407 | 2007-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389528 | Tsoguik Broutian | Case Manager/Care Coordinator | Kern County Superintendent of Schools, 1300 17th St., Bakersfield, CA 93301 | 2020-09-08 |
| 1124665559 | Flourish Family Wellness Psychological Services, Inc. | Marriage & Family Therapist | 1909 16th Street, Suite 7, Bakersfield, CA 93301 | 2019-12-04 |
| 1063066231 | Alexandra Moo | Case Manager/Care Coordinator | 1415 Trutun Ave, Bakersfield, CA 93301 | 2019-07-26 |
| 1245898659 | Michael Dean Sampley | Marriage & Family Therapist | 2025 Westwind Dr. Ste. A, Bakersfield, CA 93301 | 2019-05-31 |
| 1740751619 | Jimmy Garcia | Counselor | Aegis Treatment Center, 1018 21st St, Bakersfield, CA 93301 | 2018-12-17 |
| 1689140741 | Prism Pain and Spine, Inc | Physical Medicine & Rehabilitation | 3838 San Dimas, Ste., 3838 San Dimas,ste. B-231, Bakersfield, CA 93301 | 2018-10-16 |
| 1215437678 | Andria Sousa | Behavior Technician | 2535 16th St Ste 215&210, Bakersfield, CA 93301 | 2018-02-12 |
| 1003329889 | County of Kern | Clinic/Center | 820 34th Street, Suite 100,201,202, 203, Bakersfield, CA 93301 | 2017-11-15 |
| 1306358577 | Ashley Marie Pereida | Case Manager/Care Coordinator | 3300 Truxtun Ave. Suite 200, Bakersfield, CA 93301 | 2017-10-28 |
| 1982123113 | Amber Freer Hayes | Licensed Vocational Nurse | 2001, 28th Street, Bakersfield, CA 93301 | 2017-09-19 |
| Find all providers in zip 93301 | ||||
| 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 |
|---|---|---|---|---|
| 1942558374 | La Familia Clinica | Health Maintenance Organization | 1326 H St Unit1, Bakersfield, CA 93304-1326 | 2012-08-15 |
| 1881822377 | New Branches 4 Life | Health Maintenance Organization | 1415 18th St Ste 522, Bakersfield, CA 93301-4443 | 2009-06-23 |
| 1174619282 | Rex H Truong | Health Maintenance Organization | 8800 Ming Ave., Bakersfield, CA 93311 | 2006-10-05 |
| 1841268455 | Kyaw Tun | Health Maintenance Organization | 8800 Ming Ave, Bakersfield, CA 93311-1308 | 2006-03-09 |
| 1851914378 | Universal Healthcare Ipa, Inc. | Health Maintenance Organization | 8501 Brimhall Rd Bldg 100, Bakersfield, CA 93312-2327 | 2020-05-19 |
| 1316572753 | Southern California Permanente Medical Group | Health Maintenance Organization | 9100 Rosedale Hwy, Bakersfield, CA 93312-2143 | 2020-03-05 |
| 1851823702 | Clinica Sierra Vista | Health Maintenance Organization | 1509 E 11th St, Bakersfield, CA 93307-1269 | 2017-03-30 |
| 1629371505 | Rowena Mary Yong | Health Maintenance Organization | 1800 Mount Vernon Ave, 2nd Floor, Bakersfield, CA 93306-3302 | 2010-12-14 |
| 1588804777 | Independence Ipa, A Medical Group, Inc. Dba Independence Medical Group | Health Maintenance Organization | 1801 16th St, Suite B, Bakersfield, CA 93301-5002 | 2009-02-27 |
| 1275657827 | Golden Empire Managed Care, A Medical Group, Inc | Health Maintenance Organization | 4550 California Ave, Ste 500, Bakersfield, CA 93309-7012 | 2007-03-19 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93301 |
Please comment or provide details below to improve the information on SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP.
| 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.