TARGET CLINIC MEDICAL ASSOCIATES OF SOUTHERN CALIFORNIA
NPI 1023425972
Health Maintenance Organization in San Diego, CA

Active since July 11, 2014
1288 CAMINO DEL RIO N, SAN DIEGO, CA 92108(877) 608-0044 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 2, 2021, May 26, 2021 (2 updates tracked since 2021).

About Target Clinic Medical Associates Of Southern California NPPES

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

TARGET CLINIC MEDICAL ASSOCIATES OF SOUTHERN CALIFORNIA (NPI 1023425972) is a healthcare organization registered as a health maintenance organization in San Diego, California and active in the NPI registry since July 2014. The organization lists Ramin Davidoff, Executive Medical Director, as its authorized official.

NPPES Registry Identity

NPI1023425972
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NameSOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Location Address1288 CAMINO DEL RIO NSan Diego, CA 92108-1511
Mailing Address393 E Walnut St, Provider Enrollment, 3rd FloorPasadena, CA 91188-0001 · (877) 608-0044
Organization SubpartNo
Authorized OfficialRamin DavidoffExecutive Medical Director · (877) 608-0044
Enumeration DateJuly 11, 2014
Last NPPES UpdateNovember 2, 20212 updates tracked since enumeration
NPPES CertifiedNovember 2, 2021
✔ NPI 1023425972 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.
1288 CAMINO DEL RIO N, San Diego, CA 92108

Other Names 1

Doing Business AsTarget Clinic Medical Associates Of Southern California

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 Of Southern California is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17,021

Medicare enrollment records show 17,021 clinicians reassign Medicare billing to Target Clinic Medical Associates Of Southern California, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 1,337 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 81

Family Practice2,339
Internal Medicine2,240
Pediatric Medicine1,168
Nurse Practitioner1,014
Emergency Medicine981
Physical Therapist in Private Practice697
Obstetrics/Gynecology696
Marriage and Family Therapist688
73 other specialties7,198

Nearest to this location (20)

See all 17,021
Nurse Practitioner
NPI 1669605614
1288 CAMINO DEL RIO N
San Diego, CA 92108
(619) 542-0025
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1760088918
1288 CAMINO DEL RIO N
San Diego, CA 92108
(909) 569-2199
✔ PECOSSame address
Clinical Social Worker
NPI 1174874226
1333 CAMINO DEL RIO S STE 105
San Diego, CA 92108
(619) 997-4731
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1669611299
1075 CAMINO DEL RIO S
San Diego, CA 92108
(619) 881-4500
✔ PECOS✔ Accepts Medicare0.3 mi
Certified Nurse Midwife (CNM)
NPI 1811209679
1075 CAMINO DEL RIO S
San Diego, CA 92108
(619) 881-4500
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1952606287
1075 CAMINO DEL RIO S
San Diego, CA 92108
(619) 881-4500
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1194926469
1075 CAMINO DEL RIO S
San Diego, CA 92108
(619) 881-4500
✔ PECOS0.3 mi
Nurse Practitioner
NPI 1528741014
5644 MISSION CENTER RD
San Diego, CA 92108
(619) 298-3655
✔ PECOS✔ Accepts Medicare0.6 mi
Physical Therapist in Private Practice
NPI 1881922664
580 CAMINO DE LA REINA UNIT 327
San Diego, CA 92108
(619) 341-4363
✔ Accepts Medicare0.6 mi
Clinical Social Worker
NPI 1861616369
5005 TEXAS ST SUITE 203
San Diego, CA 92108
(619) 692-0727
✔ PECOS0.7 mi
Marriage and Family Therapist
NPI 1215390844
5005 TEXAS ST SUITE 203
San Diego, CA 92108
(619) 692-0727
✔ PECOS0.7 mi
Clinical Social Worker
NPI 1265638399
2525 CAMINO DEL RIO S STE 315
San Diego, CA 92108
(858) 245-7921
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1720089618
1835 EL CAJON BLVD SUITE B
San Diego, CA 92103
(619) 692-3977
✔ PECOS1.0 mi
Anesthesiology
NPI 1033366026
7485 MISSION VALLEY RD
San Diego, CA 92108
(619) 291-3737
✔ PECOS✔ Accepts Medicare1.0 mi
Family Practice
NPI 1053552620
4311 3RD AVE
San Diego, CA 92103
(619) 688-1600
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1396312328
5960 MISSION CENTER RD UNIT B
San Diego, CA 92123
(805) 512-0283
✔ PECOS✔ Accepts Medicare1.1 mi
Optometry
NPI 1326218348
6950 FRIARS RD SUITE 100
San Diego, CA 92108
(619) 243-2444
✔ PECOS✔ Accepts Medicare1.2 mi
Nephrology
NPI 1437217841
220 W. ARBOR DR. DEPT 8781
San Diego, CA 92103
(858) 552-7528
✔ PECOS✔ Accepts Medicare1.2 mi
Psychiatry
NPI 1386720985
140 ARBOR DR
San Diego, CA 92103
(858) 578-0325
✔ PECOS✔ Accepts Medicare1.2 mi
Obstetrics/Gynecology
NPI 1417104076
200 W ARBOR DR MC 8433
San Diego, CA 92103
(619) 543-6922
✔ PECOS1.2 mi
See all 17,021 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 1023425972. It was assigned to this organization in the NPPES registry on July 11, 2014. The provider is doing business as Target Clinic Medical Associates Of Southern California.

Where is Southern California Permanente Medical Group located?

Southern California Permanente Medical Group is located at 1288 Camino Del Rio N, San Diego, CA 92108. 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), 17,021 clinicians in 81 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 (2,339), Internal Medicine (2,240) and Pediatric Medicine (1,168). Of these, 2 practice at this address and 1,337 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.