SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP (NPI# 1942787114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942787114 |
| Entity Type | Organization |
| Organization Name | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Other Organization Name | TARGET CLINIC MEDICAL ASSOCIATES OF SOUTHERN CALIFORNIA |
| Practice Address |
3600 Rosemead Blvd Rosemead CA 91770-2066 |
| Mailing Address |
393 E Walnut Street Gpeu 3rd Floor Pasadena CA 91188-0001 |
| Practice Telephone | 8776080044 |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |
| 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 OF SOUTHERN CALIFORNIA | Doing Business As Name - 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 |
| 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 |
| 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 |
3600 ROSEMEAD BLVD |
| City | ROSEMEAD |
| State | CA |
| Zip Code | 91770-2066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255353942 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 3600 Rosemead Blvd, Rosemead, CA 91770-2066 | 2006-07-24 |
| 1033606231 | Gary Chan | Optometrist | 3600 Rosemead Blvd, Rosemead, CA 91770-2066 | 2018-04-13 |
| 1508396052 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 3600 Rosemead Blvd, Rosemead, CA 91770-2066 | 2017-06-18 |
| 1477981165 | Annie Aekyung Song | Pharmacist | 3600 Rosemead Blvd, Rosemead, CA 91770-2066 | 2013-10-16 |
| 1801223052 | Tiffany Chai | Pharmacist | 3600 Rosemead Blvd, Rosemead, CA 91770-2066 | 2013-10-02 |
| 1124313853 | Target | Pharmacist | 3600 Rosemead Blvd, Rosemead, CA 91700 | 2011-06-10 |
| 1447543202 | Scott Ong | Pharmacist | 3600 Rosemead Blvd, Target Pharmacy T-1411, Rosemead, CA 91770-2066 | 2011-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598310070 | Kangtai Clinic | Acupuncturist | 7940 Garvey Ave #205, Rosemead, CA 91770 | 2019-08-01 |
| 1285190421 | Patrick Mecenas | Occupational Therapist | 3832 Muscatel Ave, Rosemead, CA 91770 | 2019-02-12 |
| 1790265577 | Ke Xu | Student in an Organized Health Care Education/Training Program | 9353 Valley Blvd C Rosemend,asian Pacific Family Center, Los Angeles, CA 91770 | 2018-08-21 |
| 1629596259 | Daniel Tran | Occupational Therapist | 3243 Charlotte Ave, Rosemead, CA 91770 | 2017-09-04 |
| 1811425424 | Eric M. Erickson | Acupuncturist | 9105 E. Valley Blvd. Suite 101, Rosemead, CA 91770 | 2017-05-25 |
| 1598170045 | Gold Standard Health | Pharmacy | 3812 Brookline Ave, Rosemead, CA 91770 | 2014-06-24 |
| 1508286774 | Kim Tuyen Nguyen | Rehabilitation Practitioner | 9353 Valley Blvd # C, Rosemead, CA 91770 | 2014-04-25 |
| 1962828269 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2507 Evelyn Ave, Rosemead, CA 91770 | 2014-03-11 |
| 1871853267 | Healthy Green Acupuncture | Acupuncturist | 9127 E. Valley Blvd., Rosemead, CA 91770 | 2012-05-21 |
| 1104192574 | Gilbert Koay | Pharmacist | 8225 E Garvey Ave, Rosemead, CA 91770 | 2012-03-29 |
| Find all providers in zip 91770 | ||||
| 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 |
|---|---|---|---|---|
| 1629251418 | Steven Y Hou Dds Inc | Health Maintenance Organization | 2240 San Gabriel Blvd, Rosemead, CA 91770 | 2007-12-14 |
| 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.