SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
NPI 1043242563
Health Maintenance Organization in Los Angeles, CA

Active since July 07, 2006
6041 CADILLAC AVE, LOS ANGELES, CA 90034(323) 857-2000 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 2, 2021, May 27, 2021, Dec 29, 2020 (3 updates tracked since 2020).

About Southern California Permanente Medical Group NPPES

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

SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP (NPI 1043242563) is a healthcare organization registered as a health maintenance organization in Los Angeles, California and active in the NPI registry since July 2006. The organization lists Ramin Davidoff, Executive Medical Director, as its authorized official.

NPPES Registry Identity

NPI1043242563
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NameSOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Location Address6041 CADILLAC AVELos Angeles, CA 90034-1702
Mailing Address393 E Walnut St, 3rd Fl Phr Group & Provider EnrollmentPasadena, CA 91188-0001 · (626) 405-7914 · Fax (626) 405-4600
Organization SubpartNo
Authorized OfficialRamin DavidoffExecutive Medical Director · (877) 608-0044
Enumeration DateJuly 7, 2006
Last NPPES UpdateNovember 2, 20213 updates tracked since enumeration
NPPES CertifiedNovember 2, 2021
✔ NPI 1043242563 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.
6041 CADILLAC AVE, Los Angeles, CA 90034

Other Identifiers 1

MedicaidZZZ77244ZCA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

13,849

Medicare enrollment records show 13,849 clinicians reassign Medicare billing to Southern California Permanente Medical Group, which bills Medicare for the services they deliver. Of these, 297 practice at this address and 2,706 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 Practitioner792
Anesthesiology593
Physical Therapist in Private Practice585
Obstetrics/Gynecology566
72 other specialties5,902

Nearest to this location (20)

See all 13,849
Hospitalist
NPI 1194873067
6041 CADILLAC AVE
Los Angeles, CA 90034
(323) 857-2000
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1528116456
6041 CADILLAC AVE
Los Angeles, CA 90034
(323) 857-2000
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1366590275
6041 CADILLAC AVE
Los Angeles, CA 90034
(323) 857-2000
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1265410187
6041 CADILLAC AVE KAISER PERMANENTE
Los Angeles, CA 90034
(323) 857-2000
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1942371844
6041 CADILLAC AVE
Los Angeles, CA 90034
(323) 857-2000
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1033278783
6041 CADILLAC AVE
Los Angeles, CA 90034
(323) 857-2000
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1326196148
6041 CADILLAC AVE
Los Angeles, CA 90034
(323) 857-2000
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1386935393
6041 CADILLAC AVE MODULE 4 B, 4TH FLOOR
Los Angeles, CA 90034
(323) 857-4228
✔ PECOSSame address
Physical Therapist in Private Practice
NPI 1952532525
6041 CADILLAC AVE
Los Angeles, CA 90034
(323) 857-2504
✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1629145552
6041 CADILLAC AVE
Los Angeles, CA 90034
(323) 857-2000
✔ PECOSSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1881753523
6041 CADILLAC AVE
Los Angeles, CA 90034
(323) 857-2000
✔ Accepts MedicareSame address
Interventional Radiology
NPI 1164570024
6041 CADILLAC AVE
Los Angeles, CA 90034
(323) 857-2000
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1619036217
6041 CADILLAC AVE
Los Angeles, CA 90034
(323) 857-2000
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1699834325
6041 CADILLAC AVE
Los Angeles, CA 90034
(323) 857-2000
✔ PECOSSame address
Occupational Therapist in Private Practice
NPI 1659578813
6041 CADILLAC AVE
Los Angeles, CA 90034
(323) 857-2000
✔ Accepts MedicareSame address
Ophthalmology
NPI 1578750261
6041 CADILLAC AVE
Los Angeles, CA 90034
(323) 857-2000
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1619037892
6041 CADILLAC AVE
Los Angeles, CA 90034
(323) 857-2000
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1437218153
6041 CADILLAC AVE
Los Angeles, CA 90034
(323) 857-2000
✔ PECOSSame address
Cardiovascular Disease (Cardiology)
NPI 1700953692
6041 CADILLAC AVE
Los Angeles, CA 90034
(323) 857-2000
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1487970950
6041 CADILLAC AVE
Los Angeles, CA 90034
(301) 514-7397
✔ PECOS✔ Accepts MedicareSame address
See all 13,849 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 1043242563. It was assigned to this organization in the NPPES registry on July 7, 2006.

Where is Southern California Permanente Medical Group located?

Southern California Permanente Medical Group is located at 6041 Cadillac Ave, Los Angeles, CA 90034. The listed phone number is (323) 857-2000.

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), 13,849 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, 297 practice at this address and 2,706 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 4 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.