SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP (NPI# 1952333478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952333478 |
| Entity Type | Organization |
| Organization Name | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Practice Address |
5601 De Soto Ave Woodland Hills CA 91367-6701 |
| Mailing Address |
393 E Walnut St 3rd Fl Phr Group & Provider Enrollment Pasadena CA 91188-0001 |
| Practice Telephone | 8187192000 |
| 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 | GR0018331 | 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 |
| 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 |
5601 DE SOTO AVE |
| City | WOODLAND HILLS |
| State | CA |
| Zip Code | 91367-6701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641900 | Lester D. R. Thompson | Pathology | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2005-06-29 |
| 1346840600 | Deborah Pourvali | Social Worker | 5601 De Soto Ave, Woodland Hills, CA 91367-6798 | 2020-10-27 |
| 1356954499 | Cipora Kricun | Social Worker | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2020-08-28 |
| 1467065623 | Christine Yi | Pharmacist | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2020-08-27 |
| 1083225106 | Dania Bitar | Pharmacist | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2020-08-12 |
| 1336777838 | Sean Xiang Chen | Student in an Organized Health Care Education/Training Program | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2020-03-30 |
| 1407484470 | Jasmine Jafari | Student in an Organized Health Care Education/Training Program | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2020-03-27 |
| 1639706849 | Sonia Rutten | Student in an Organized Health Care Education/Training Program | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2020-03-26 |
| 1831726892 | Brian Dickey | Student in an Organized Health Care Education/Training Program | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2020-03-26 |
| 1275160491 | Sunha Lee | Student in an Organized Health Care Education/Training Program | 5601 De Soto Ave, Woodland Hills, CA 91367-6798 | 2020-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144837386 | Welby Way Home LLC | Hospice Care, Community Based | 21550 Oxnard St., 3rd Floor Suite # 57, Woodland Hills, CA 91367 | 2020-09-30 |
| 1821619180 | Jmg Recovery, Inc | Substance Abuse Rehabilitation Facility | 23043 Hatteras Street, Woodland Hills, CA 91367 | 2020-04-28 |
| 1952952137 | Carol L. Frankel | Technician | 22616 Victory Blvd., Woodland Hills, CA 91367 | 2019-09-27 |
| 1346890191 | Sharie Renell Boudreaux | Behavioral Analyst | 210600 Oxnard St, Suite 1800, Woodland Hills, CA 91367 | 2019-09-13 |
| 1104381631 | Victor Fernando Tovar | Behavior Technician | 21600 Oxnard Street, Suite 1030, Woodland Hills, CA 91367 | 2019-02-08 |
| 1982173076 | Tefany Cheam | Behavioral Analyst | 216000 Oxnard St., Suite 1800, Woodland Hills, CA 91367 | 2018-11-19 |
| 1205301520 | Basso Pharmacy, Inc. | Pharmacy | 5952 & 5954 Fallbrook Avenue, Woodland Hills, CA 91367 | 2018-10-13 |
| 1255813523 | Annemarie Fine | Behavioral Analyst | 21609 Oxnard St Ste 1800, Woodland Hills, CA 91367 | 2018-09-04 |
| 1730661166 | Paige Sefton | Marriage & Family Therapist | 21333 Oxnard St., Woodland Hills, CA 91367 | 2018-09-01 |
| 1073095402 | Rosalia Hernandez | Behavioral Analyst | 21600 Oxnard St Ste, Woodland Hills, CA 91367 | 2018-09-01 |
| Find all providers in zip 91367 | ||||
| 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 |
|---|---|---|---|---|
| 1649881194 | Health Net Community Solutions Inc | Health Maintenance Organization | 21271 Burbank Blvd, Woodland Hills, CA 91367-6667 | 2020-08-10 |
| 1073810784 | Mulholland Dental Care | Health Maintenance Organization | 23305 Mulholland Dr, Ste # E, Woodland Hills, CA 91364-2704 | 2011-02-15 |
| 1013390111 | Kaiser Permanente | Health Maintenance Organization | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2015-07-07 |
| 1407242910 | Ellen Giuffre | Health Maintenance Organization | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2015-04-10 |
| 1205182623 | Healthy Choice Clinic | Health Maintenance Organization | 20969 Ventura Blvd, 23, Woodland Hills, CA 91364-2305 | 2012-08-03 |
| 1720264039 | Health Net of California, Inc. | Health Maintenance Organization | 21281 Burbank Blvd, Mail Stop: Ca-900-03-01, Woodland Hills, CA 91367-6607 | 2008-01-16 |
| 1275743973 | Stefan H Sznajder | Health Maintenance Organization | 6325 Topanga Canyon Blvd, Suite #135, Woodland Hills, CA 91367-2006 | 2007-05-23 |
| 1326171265 | Global Care Medical Group Ipa | Health Maintenance Organization | 6400 Canoga Ave, Suite 163, Woodland Hills, CA 91367-2425 | 2007-03-13 |
| 1982737847 | Riverside Family Health Medical Group | Health Maintenance Organization | 6400 Canoga Ave, Suite 163, Woodland Hills, CA 91367-2425 | 2007-03-13 |
| 1801929757 | Health Care La, Ipa | Health Maintenance Organization | 6400 Canoga Ave, Suite 163, Woodland Hills, CA 91367-2425 | 2007-03-13 |
| Find all providers in WOODLAND HILLS | ||||
| City | WOODLAND HILLS |
| Zip Code | 91367 |
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.