TARGET CLINIC MEDICAL ASSOCIATES
NPI 1164914115
Health Maintenance Organization in Hawthorne, CA

Active since June 05, 2018
2700 W 120TH ST, HAWTHORNE, CA 90250(877) 608-0044 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 (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 1164914115) is a healthcare organization registered as a health maintenance organization in Hawthorne, 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

NPI1164914115
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NameSOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Location Address2700 W 120TH STHawthorne, CA 90250-3388
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 1164914115 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.
2700 W 120TH ST, Hawthorne, CA 90250

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

13,849

Medicare enrollment records show 13,849 clinicians reassign Medicare billing to Target Clinic Medical Associates, which bills Medicare for the services they deliver. Of these, 1,401 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 Practitioner792
Anesthesiology593
Physical Therapist in Private Practice585
Obstetrics/Gynecology566
72 other specialties5,902

Nearest to this location (20)

See all 13,849
Marriage and Family Therapist
NPI 1710446422
11601 S WESTERN AVE
Los Angeles, CA 90047
(323) 242-5000
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1982342432
14111 VAN NESS AVE # 5
Gardena, CA 90249
(142) 439-6341
✔ PECOS✔ Accepts Medicare1.3 mi
Clinical Social Worker
NPI 1124214754
13300 HAWTHORNE BLVD
Hawthorne, CA 90250
(310) 679-3321
✔ PECOS✔ Accepts Medicare1.9 mi
Hospitalist
NPI 1073743621
11539 HAWTHORNE BLVD 6E
Hawthorne, CA 90250
(310) 675-5370
✔ PECOS✔ Accepts Medicare1.9 mi
Optometry
NPI 1295929818
3451 W CENTURY BLVD SUITE B-3
Inglewood, CA 90303
(310) 419-3365
✔ PECOS✔ Accepts Medicare1.9 mi
Pediatric Medicine
NPI 1235575820
4455 W 117TH ST STE 300
Hawthorne, CA 90250
(310) 645-0444
✔ PECOS1.9 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1124709233
12700 INGLEWOOD AVE # 1904
Hawthorne, CA 90250
(310) 648-4262
✔ Accepts Medicare2.3 mi
Family Practice
NPI 1689044760
15446 S WESTERN AVE
Gardena, CA 90249
(833) 574-2273
✔ PECOS✔ Accepts Medicare2.3 mi
Physical Therapist in Private Practice
NPI 1649644733
15446 S WESTERN AVE
Gardena, CA 90249
(800) 780-1230
✔ Accepts Medicare2.3 mi
Internal Medicine
NPI 1346276789
15446 S WESTERN AVE
Gardena, CA 90249
(310) 217-5470
✔ PECOS2.3 mi
Emergency Medicine
NPI 1265920052
555 E HARDY ST
Inglewood, CA 90301
(248) 974-3830
✔ PECOS2.5 mi
Qualified Audiologist
NPI 1548397169
1141 W REDONDO BEACH BLVD STE 402
Gardena, CA 90247
(310) 329-8633
2.5 mi
Podiatry
NPI 1013177633
1246 W 155TH ST
Gardena, CA 90247
(310) 768-2256
✔ PECOS✔ Accepts Medicare2.6 mi
Marriage and Family Therapist
NPI 1215419601
120 W EL SEGUNDO BLVD
Los Angeles, CA 90061
(310) 901-2284
✔ PECOS2.7 mi
Mental Health Counselor
NPI 1457891210
1328 W MANCHESTER AVE
Los Angeles, CA 90044
(323) 778-9595
✔ PECOS2.9 mi
Occupational Therapist in Private Practice
NPI 1184978918
5220 W 104TH ST
Los Angeles, CA 90045
(888) 711-6272
✔ Accepts Medicare3.2 mi
Diagnostic Radiology
NPI 1881070241
323 N PRAIRIE AVE STE 114
Inglewood, CA 90301
(310) 674-9300
✔ PECOS✔ Accepts Medicare3.3 mi
Anesthesiology
NPI 1669762001
2003 ARTESIA BLVD UNIT 120
Torrance, CA 90504
(949) 468-7046
✔ PECOS✔ Accepts Medicare3.4 mi
Obstetrics/Gynecology
NPI 1114187556
1600 ROSECRANS AVE # 4B
Manhattan Beach, CA 90266
(310) 893-7046
✔ PECOS3.9 mi
General Surgery
NPI 1295943884
2251 W ROSECRANS AVE STE 21
Compton, CA 90222
(424) 529-6755
✔ PECOS✔ Accepts Medicare4.0 mi
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 1164914115. 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 2700 W 120th St, Hawthorne, CA 90250. 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), 13,849 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, 1,401 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 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.