TARGET CLINIC MEDICAL ASSOCIATES
NPI 1013409044
Health Maintenance Organization in Los Angeles, CA

Active since June 05, 2018
2626 COLORADO BLVD, LOS ANGELES, CA 90041(877) 608-0044 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 2, 2021, May 27, 2021 (2 updates tracked since 2021).

About Target Clinic Medical Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARGET CLINIC MEDICAL ASSOCIATES (NPI 1013409044) is a healthcare organization registered as a health maintenance organization in Los Angeles, California and active in the NPI registry since June 2018. The organization lists Ramin Davidoff, Executive Medical Director, as its authorized official.

NPPES Registry Identity

NPI1013409044
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NameSOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Location Address2626 COLORADO BLVDLos Angeles, CA 90041-1070
Mailing Address393 E Walnut St, Gpeu 3rd FloorPasadena, CA 91188-0001 · (877) 608-0044 · Fax (877) 514-0903
Organization SubpartNo
Authorized OfficialRamin DavidoffExecutive Medical Director · (877) 608-0044
Enumeration DateJune 5, 2018
Last NPPES UpdateNovember 2, 20212 updates tracked since enumeration
NPPES CertifiedNovember 2, 2021
✔ NPI 1013409044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHealth Maintenance OrganizationManaged Care Organizations
Taxonomy Code302R00000X
Definition
(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.
2626 COLORADO BLVD, Los Angeles, CA 90041

Other Names 1

Other NameTarget Clinic Medical Associates

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Target Clinic Medical Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13,847

Medicare enrollment records show 13,847 clinicians reassign Medicare billing to Target Clinic Medical Associates, which bills Medicare for the services they deliver. Of these, 2,078 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 80

Family Practice1,818
Internal Medicine1,785
Pediatric Medicine951
Emergency Medicine857
Nurse Practitioner791
Anesthesiology593
Physical Therapist in Private Practice585
Obstetrics/Gynecology566
72 other specialties5,901

Nearest to this location (20)

See all 13,847
Physical Therapist in Private Practice
NPI 1992106454
2560 COLORADO BLVD
Eagle Rock, CA 90041
(323) 255-5409
✔ Accepts Medicare0.1 mi
Physical Therapist in Private Practice
NPI 1417358045
2560 COLORADO BLVD
Eagle Rock, CA 90041
(323) 255-5409
✔ Accepts Medicare0.1 mi
Physical Therapist in Private Practice
NPI 1811202401
411 LINCOLN AVE APT 18
Glendale, CA 91205
(714) 334-6954
0.4 mi
Obstetrics/Gynecology
NPI 1538152715
1505 WILSON TER STE 160
Glendale, CA 91206
(818) 409-8084
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1588828081
1509 WILSON TER 4TH FLOOR 4W ORTHPEDIC DEPARTMENT
Glendale, CA 91206
(818) 409-8000
✔ PECOS0.7 mi
Internal Medicine
NPI 1932626553
1505 WILSON TER STE 155
Glendale, CA 91206
(818) 500-4055
✔ PECOS✔ Accepts Medicare0.7 mi
Family Practice
NPI 1952047474
1509 WILSON TERRACE, GLENDALE, CA 91206
Glendale, CA 91206
(818) 409-8000
✔ PECOS✔ Accepts Medicare0.7 mi
Obstetrics/Gynecology
NPI 1164866901
1505 WILSON TER STE 130
Glendale, CA 91206
(818) 409-8215
✔ PECOS✔ Accepts Medicare0.7 mi
Optometry
NPI 1821613670
2002 COLORADO BLVD
Los Angeles, CA 90041
(310) 478-3711
✔ PECOS✔ Accepts Medicare0.8 mi
Hospitalist
NPI 1699794594
1509 WILSON TER GLENDALE ADVENTIST MEDICAL CENTER
Glendale, CA 91206
(818) 409-8000
✔ PECOS✔ Accepts Medicare0.8 mi
Family Practice
NPI 1669115929
1509 WILSON TER
Glendale, CA 91206
(818) 409-8328
✔ PECOS✔ Accepts Medicare0.8 mi
Interventional Radiology
NPI 1043604465
1509 WILSON TER
Glendale, CA 91206
(818) 409-8000
✔ PECOS✔ Accepts Medicare0.8 mi
Family Practice
NPI 1992377790
1560 E CHEVY CHASE DR STE 355
Glendale, CA 91206
(747) 212-3441
✔ PECOS✔ Accepts Medicare0.9 mi
General Surgery
NPI 1689028227
1560 E CHEVY CHASE DR STE 430
Glendale, CA 91206
(818) 243-1135
✔ PECOS✔ Accepts Medicare0.9 mi
General Surgery
NPI 1275037681
1560 E CHEVY CHASE DR STE 430
Glendale, CA 91206
(818) 243-1135
✔ PECOS✔ Accepts Medicare0.9 mi
Certified Nurse Midwife (CNM)
NPI 1689117251
1577 E CHEVY CHASE DR STE. 110
Glendale, CA 91206
(801) 380-2111
✔ PECOS0.9 mi
Physical Therapist in Private Practice
NPI 1073901955
1939 ACADEMY PL
Glendale, CA 91206
(818) 458-2677
1.0 mi
Hospice/Palliative Care
NPI 1982041604
801 S CHEVY CHASE DR 230
Glendale, CA 91205
(818) 500-5525
✔ PECOS✔ Accepts Medicare1.0 mi
Family Practice
NPI 1174066922
801 S CHEVY CHASE DR STE 201
Glendale, CA 91205
(818) 500-5525
✔ PECOS✔ Accepts Medicare1.0 mi
Internal Medicine
NPI 1629288329
1100 E BROADWAY STE 205
Glendale, CA 91205
(818) 453-5192
✔ PECOS✔ Accepts Medicare1.1 mi
See all 13,847 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern California Permanente Medical Group's NPI number?

The NPI number for Southern California Permanente Medical Group is 1013409044. It was assigned to this organization in the NPPES registry on June 5, 2018. The provider is also known as Target Clinic Medical Associates.

Where is Southern California Permanente Medical Group located?

Southern California Permanente Medical Group is located at 2626 Colorado Blvd, Los Angeles, CA 90041. The listed phone number is (877) 608-0044.

What is Southern California Permanente Medical Group's specialty?

The primary specialty registered for this NPI is Health Maintenance Organization with taxonomy code 302R00000X.

Is Southern California Permanente Medical Group enrolled in Medicare?

Yes. Southern California Permanente Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern California Permanente Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 13,847 clinicians in 80 Medicare specialties reassign their Medicare billing to Southern California Permanente Medical Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (1,818), Internal Medicine (1,785) and Pediatric Medicine (951). Of these, 2,078 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southern California Permanente Medical Group was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.