SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
NPI 1275756652
Health Maintenance Organization in Oxnard, CA

Active since April 11, 2007
2103 E GONZALES RD, OXNARD, CA 93036(805) 650-4700 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 27, 2021, Dec 29, 2020 (2 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 1275756652) is a healthcare organization registered as a health maintenance organization in Oxnard, California and active in the NPI registry since April 2007. The organization lists Ramin Davidoff, Executive Medical Director, as its authorized official.

NPPES Registry Identity

NPI1275756652
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NameSOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Location Address2103 E GONZALES RDOxnard, CA 93036-3757
Mailing Address393 E Walnut St, 3rd Floor 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 DateApril 11, 2007
Last NPPES UpdateMay 27, 20212 updates tracked since enumeration
NPPES CertifiedMay 27, 2021
✔ NPI 1275756652 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.
2103 E GONZALES RD, Oxnard, CA 93036

Other Identifiers 1

Medicaid1275756652CA

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, 3 practice at this address and 126 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
Occupational Therapist in Private Practice
NPI 1578040218
2103 E GONZALES RD
Oxnard, CA 93036
(805) 988-6300
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1417171802
2103 E GONZALES RD
Oxnard, CA 93036
(805) 988-6358
Same address
Internal Medicine
NPI 1942358759
2103 E GONZALES RD
Oxnard, CA 93036
(805) 822-4595
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1205223823
2200 E GONZALES RD
Oxnard, CA 93036
(833) 574-2273
✔ PECOS0.2 mi
Internal Medicine
NPI 1184962565
2200 E GONZALES RD OXNARD II MEDICAL OFFICE BUILDING
Oxnard, CA 93036
(888) 515-3500
✔ PECOS✔ Accepts Medicare0.2 mi
Hospice/Palliative Care
NPI 1871521088
2200 E GONZALES RD
Oxnard, CA 93036
(805) 512-2777
✔ PECOS0.2 mi
Podiatry
NPI 1053549253
2200 E GONZALES RD
Oxnard, CA 93036
(888) 249-2112
✔ PECOS✔ Accepts Medicare0.2 mi
Pulmonary Disease
NPI 1801265046
1910 OUTLET CENTER DR
Oxnard, CA 93036
(805) 485-2400
✔ PECOS✔ Accepts Medicare0.2 mi
Occupational Therapist in Private Practice
NPI 1356987580
2001 SOLAR DR STE 150
Oxnard, CA 93036
(805) 604-1924
✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1972081321
1700 N ROSE AVE STE 320
Oxnard, CA 93030
(805) 485-8709
✔ PECOS0.3 mi
Obstetrics/Gynecology
NPI 1063874840
1700 N ROSE AVE STE 280
Oxnard, CA 93030
(805) 384-8071
✔ PECOS0.3 mi
Family Practice
NPI 1164080214
1700 N ROSE AVE STE 210
Oxnard, CA 93030
(805) 384-8071
✔ PECOS✔ Accepts Medicare0.3 mi
Occupational Therapist in Private Practice
NPI 1639399355
2001 SOLAR DR STE 150
Oxnard, CA 93036
(805) 604-1924
✔ Accepts Medicare0.3 mi
Internal Medicine
NPI 1619322815
1600 N ROSE AVE
Oxnard, CA 93030
(805) 988-2500
✔ PECOS✔ Accepts Medicare0.4 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1750062022
1600 N ROSE AVE
Oxnard, CA 93030
(805) 988-2500
✔ Accepts Medicare0.4 mi
Family Practice
NPI 1962631192
1600 N ROSE AVE
Oxnard, CA 93030
(805) 988-2500
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1417178542
1600 N ROSE AVE
Oxnard, CA 93030
(805) 988-2843
✔ PECOS✔ Accepts Medicare0.4 mi
Internal Medicine
NPI 1023247822
1600 N ROSE AVE
Oxnard, CA 93030
(717) 577-3938
✔ PECOS✔ Accepts Medicare0.4 mi
Marriage and Family Therapist
NPI 1194261891
PO BOX 8057
Oxnard, CA 93031
(805) 328-4359
✔ PECOS1.7 mi
Pediatric Medicine
NPI 1023549755
451 W GONZALES RD
Oxnard, CA 93036
(805) 983-3900
✔ PECOS1.8 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 1275756652. It was assigned to this organization in the NPPES registry on April 11, 2007.

Where is Southern California Permanente Medical Group located?

Southern California Permanente Medical Group is located at 2103 E Gonzales Rd, Oxnard, CA 93036. The listed phone number is (805) 650-4700.

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, 3 practice at this address and 126 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 May 27, 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.