SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
NPI 1316979834
Health Maintenance Organization in Riverside, CA

Active since July 07, 2006
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505(866) 984-7483 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 1316979834) is a healthcare organization registered as a health maintenance organization in Riverside, 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

NPI1316979834
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NameSOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Location Address10800 MAGNOLIA AVERiverside, CA 92505-3043
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 1316979834 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.
10800 MAGNOLIA AVE, Riverside, CA 92505

Other Identifiers 1

MedicaidGR0018332CA

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

5,204

Medicare enrollment records show 5,204 clinicians reassign Medicare billing to Southern California Permanente Medical Group, which bills Medicare for the services they deliver. Of these, 405 practice at this address and 637 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 71

Family Practice688
Internal Medicine644
Pediatric Medicine391
Nurse Practitioner334
Marriage and Family Therapist231
Obstetrics/Gynecology205
Diagnostic Radiology200
Emergency Medicine187
63 other specialties2,324

Nearest to this location (20)

See all 5,204
Family Practice
NPI 1215216528
10800 MAGNOLIA AVENUE KAISER PERMANENTE - FAMILY MEDICINE DEPT
Riverside, CA 92505
(951) 353-3854
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1083963631
10800 MAGNOLIA AVE.
Riverside, CA 92505
(866) 984-7483
✔ PECOSSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1942326194
10800 MAGNOLIA AVE
Riverside, CA 92505
(909) 353-2000
✔ Accepts MedicareSame address
Internal Medicine
NPI 1467511170
10800 MAGNOLIA AVE
Riverside, CA 92505
(909) 353-2000
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1497746598
10800 MAGNOLIA AVE MOB-2, 5TH FLOOR, HEAD AND NECK SURGERY
Riverside, CA 92505
(951) 353-5681
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1073661971
10800 MAGNOLIA AVE
Riverside, CA 92505
(909) 353-2000
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1023177615
10800 MAGNOLIA AVE
Riverside, CA 92505
(909) 353-2000
✔ PECOS✔ Accepts MedicareSame address
Pain Management
NPI 1306965942
10800 MAGNOLIA AVE
Riverside, CA 92505
(951) 898-7460
✔ PECOSSame address
Diagnostic Radiology
NPI 1467654343
10800 MAGNOLIA AVE
Riverside, CA 92505
(626) 319-0421
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1972651875
10800 MAGNOLIA AVE
Riverside, CA 92505
(909) 353-2000
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1386703973
10800 MAGNOLIA AVE
Riverside, CA 92505
(909) 353-2000
✔ PECOSSame address
Podiatry
NPI 1427498260
10800 MAGNOLIA AVE
Riverside, CA 92505
(866) 984-7483
✔ PECOS✔ Accepts MedicareSame address
Qualified Speech Language Pathologist
NPI 1346443918
10800 MAGNOLIA AVE
Riverside, CA 92505
(951) 353-5872
Same address
Physical Therapist in Private Practice
NPI 1144343112
10800 MAGNOLIA AVE
Riverside, CA 92505
(951) 353-4670
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1043368947
10800 MAGNOLIA AVE
Riverside, CA 92505
(909) 353-2000
✔ PECOSSame address
Qualified Audiologist
NPI 1396897740
10800 MAGNOLIA AVE
Riverside, CA 92505
(909) 353-2000
Same address
Anesthesiology
NPI 1366513244
10800 MAGNOLIA AVE
Riverside, CA 92505
(909) 353-2000
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1922175736
10800 MAGNOLIA AVE
Riverside, CA 92505
(909) 353-2000
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1215267307
10800 MAGNOLIA AVE
Riverside, CA 92505
(866) 984-7483
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1255490827
10800 MAGNOLIA AVE
Riverside, CA 92505
(909) 353-2000
✔ PECOS✔ Accepts MedicareSame address
See all 5,204 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 1316979834. 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 10800 Magnolia Ave, Riverside, CA 92505. The listed phone number is (866) 984-7483.

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), 5,204 clinicians in 71 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 (688), Internal Medicine (644) and Pediatric Medicine (391). Of these, 405 practice at this address and 637 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.