SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
NPI 1225060742
Health Maintenance Organization in San Diego, CA

Active since July 07, 2006
4647 ZION AVE, SAN DIEGO, CA 92120(619) 528-5000 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 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 1225060742) is a healthcare organization registered as a health maintenance organization in San Diego, 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

NPI1225060742
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NameSOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Location Address4647 ZION AVESan Diego, CA 92120-2507
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 1225060742 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.
4647 ZION AVE, San Diego, CA 92120

Other Identifiers 1

MedicaidZZZ49531ZCA

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, 497 practice at this address and 1,324 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
Family Practice
NPI 1821261405
4647 ZION AVE
San Diego, CA 92120
(619) 528-5000
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1528288081
4647 ZION AVE KASIER DEPT OF EMERGENCY MEDICINE
San Diego, CA 92120
(619) 528-5113
✔ PECOSSame address
Hospitalist
NPI 1629209044
4647 ZION AVE
San Diego, CA 92120
(213) 608-2346
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1255489233
4647 ZION AVE
San Diego, CA 92120
(619) 528-5000
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1962603852
4647 ZION AVE
San Diego, CA 92120
(619) 528-5000
✔ Accepts MedicareSame address
Optometry
NPI 1336297233
4647 ZION AVE
San Diego, CA 92120
(619) 528-5000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1811045750
4647 ZION AVE
San Diego, CA 92120
(619) 528-5000
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1750598504
4647 ZION AVE DEPT. OF RADIOLOGY
San Diego, CA 92120
(618) 528-5538
✔ PECOS✔ Accepts MedicareSame address
Hospice/Palliative Care
NPI 1477624377
4647 ZION AVE
San Diego, CA 92120
(619) 528-5000
✔ PECOSSame address
Pediatric Medicine
NPI 1528127271
4647 ZION AVE
San Diego, CA 92120
(619) 528-5000
✔ PECOSSame address
General Surgery
NPI 1033267836
4647 ZION AVE
San Diego, CA 92120
(619) 528-5000
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1053469080
4647 ZION AVE
San Diego, CA 92120
(619) 528-5000
✔ PECOSSame address
Geriatric Medicine
NPI 1912055807
4647 ZION AVE
San Diego, CA 92120
(619) 528-5000
✔ PECOSSame address
Otolaryngology
NPI 1174682777
4647 ZION AVE
San Diego, CA 92120
(619) 528-5000
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1912055971
4647 ZION AVE
San Diego, CA 92120
(619) 528-5000
✔ PECOSSame address
Anesthesiology
NPI 1174686380
4647 ZION AVE
San Diego, CA 92120
(619) 528-7266
✔ PECOSSame address
Clinical Social Worker
NPI 1245504943
4647 ZION AVE
San Diego, CA 92120
(619) 528-5000
✔ PECOSSame address
Cardiovascular Disease (Cardiology)
NPI 1295875748
4647 ZION AVE
San Diego, CA 92120
(619) 528-5000
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1932258290
4647 ZION AVE
San Diego, CA 92120
(619) 528-5000
✔ PECOS✔ Accepts MedicareSame address
General Practice
NPI 1205996493
4647 ZION AVE
San Diego, CA 92120
(619) 528-5000
✔ PECOSSame 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 1225060742. 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 4647 Zion Ave, San Diego, CA 92120. The listed phone number is (619) 528-5000.

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, 497 practice at this address and 1,324 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.