TARGET CLINIC MEDICAL ASSOCIATES OF SOUTHERN CALIFORNIA
NPI 1336556059
Health Maintenance Organization in Fullerton, CA

Active since July 15, 2014
1893 W MALVERN AVE, FULLERTON, CA 92833(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 Of Southern California NPPES

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

TARGET CLINIC MEDICAL ASSOCIATES OF SOUTHERN CALIFORNIA (NPI 1336556059) is a healthcare organization registered as a health maintenance organization in Fullerton, California and active in the NPI registry since July 2014. The organization lists Ramin Davidoff, Executive Medical Director, as its authorized official.

NPPES Registry Identity

NPI1336556059
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NameSOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Location Address1893 W MALVERN AVEFullerton, CA 92833-2403
Mailing Address393 E Walnut St, Provider Enrollment, 3rd FloorPasadena, CA 91188-0001 · (877) 608-0044
Organization SubpartNo
Authorized OfficialRamin DavidoffExecutive Medical Director · (877) 608-0044
Enumeration DateJuly 15, 2014
Last NPPES UpdateNovember 2, 20212 updates tracked since enumeration
NPPES CertifiedNovember 2, 2021
✔ NPI 1336556059 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.
1893 W MALVERN AVE, Fullerton, CA 92833

Other Names 1

Doing Business AsTarget Clinic Medical Associates Of Southern California

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 Of Southern California 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 Of Southern California, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 1,268 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
Nurse Practitioner
NPI 1396122156
1893 W MALVERN AVE
Fullerton, CA 92833
(714) 992-2454
✔ PECOSSame address
Certified Nurse Midwife (CNM)
NPI 1578751087
313 N SWEET AVE
Fullerton, CA 92833
(714) 773-5272
✔ PECOS0.8 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1093163628
2534 LARKWOOD DR
Fullerton, CA 92833
(510) 449-8872
✔ Accepts Medicare0.8 mi
Marriage and Family Therapist
NPI 1164871083
1530 W OLIVE AVE
Fullerton, CA 92833
(714) 766-9771
✔ PECOS✔ Accepts Medicare1.0 mi
Certified Nurse Midwife (CNM)
NPI 1487167748
6915 FACULTY CIR APT D
Buena Park, CA 90621
(714) 624-9608
✔ PECOS1.7 mi
Optometry
NPI 1902069859
2217 TERRAZA PL
Fullerton, CA 92835
(312) 437-0909
✔ PECOS✔ Accepts Medicare1.7 mi
Internal Medicine
NPI 1750918843
1837 SUNNY CREST DR
Fullerton, CA 92835
(714) 446-5831
✔ PECOS1.8 mi
Nurse Practitioner
NPI 1306974001
731 S. HIGHLAND AVE.
Fullerton, CA 92832
(714) 446-5100
✔ PECOS✔ Accepts Medicare1.9 mi
Ophthalmology
NPI 1174500391
1801 W ROMNEYA DR SUITE 403
Anaheim, CA 92801
(714) 491-7000
✔ PECOS✔ Accepts Medicare1.9 mi
Hematology/Oncology
NPI 1558797977
1801 W ROMNEYA DR STE 203
Anaheim, CA 92801
(714) 999-1465
✔ PECOS✔ Accepts Medicare1.9 mi
General Surgery
NPI 1790042885
1950 SUNNY CREST DR STE 3500
Fullerton, CA 92835
(714) 408-4249
✔ PECOS✔ Accepts Medicare1.9 mi
Colorectal Surgery (Proctology)
NPI 1477915767
1950 SUNNY CREST DR STE 3500
Fullerton, CA 92835
(714) 408-4249
✔ PECOS✔ Accepts Medicare1.9 mi
Clinical Psychologist
NPI 1255425054
1400 N HARBOR BLVD SUITE 440
Fullerton, CA 92835
(714) 681-9070
✔ PECOS✔ Accepts Medicare2.0 mi
Qualified Audiologist
NPI 1255580213
100 E VALENCIA MESA DR STE 111
Fullerton, CA 92835
(714) 441-0133
✔ Accepts Medicare2.0 mi
Cardiovascular Disease (Cardiology)
NPI 1992064950
100 E VALENCIA MESA DR STE 206
Fullerton, CA 92835
(714) 446-5050
✔ PECOS✔ Accepts Medicare2.0 mi
Hospitalist
NPI 1306149166
1188 N EUCLID ST
Anaheim, CA 92801
(888) 988-2800
✔ PECOS✔ Accepts Medicare2.0 mi
Psychiatry
NPI 1235674177
1188 N EUCLID ST
Anaheim, CA 92801
(833) 574-2273
✔ PECOS✔ Accepts Medicare2.0 mi
Clinical Social Worker
NPI 1134633845
1188 N EUCLID ST FL 5
Anaheim, CA 92801
(714) 644-6480
✔ PECOS✔ Accepts Medicare2.0 mi
Family Practice
NPI 1154321123
1188 N EUCLID ST
Anaheim, CA 92801
(888) 988-2800
✔ PECOS✔ Accepts Medicare2.0 mi
Obstetrics/Gynecology
NPI 1104850676
1188 N EUCLID ST
Anaheim, CA 92801
(888) 988-2800
✔ PECOS✔ Accepts Medicare2.1 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 1336556059. It was assigned to this organization in the NPPES registry on July 15, 2014. The provider is doing business as Target Clinic Medical Associates Of Southern California.

Where is Southern California Permanente Medical Group located?

Southern California Permanente Medical Group is located at 1893 W Malvern Ave, Fullerton, CA 92833. 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 practice at this address and 1,268 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.