SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
NPI 1346328853
Clinical Medical Laboratory in Los Angeles, CA

Active since November 01, 2006
4580 ELECTRONICS PL, LOS ANGELES, CA 90039(818) 502-5940 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 2, 2021, May 26, 2021 (2 updates tracked since 2021).

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 1346328853) is a healthcare organization registered as a clinical medical laboratory in Los Angeles, California and active in the NPI registry since November 2006. The organization lists Ramin Davidoff, Executive Medical Director, as its authorized official.

NPPES Registry Identity

NPI1346328853
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameSOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Location Address4580 ELECTRONICS PLLos Angeles, CA 90039-1008
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 DateNovember 1, 2006
Last NPPES UpdateNovember 2, 20212 updates tracked since enumeration
NPPES CertifiedNovember 2, 2021
✔ NPI 1346328853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
4580 ELECTRONICS PL, Los Angeles, CA 90039

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, 2,503 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
Anesthesiology
NPI 1144367111
716 W BROADWAY
Glendale, CA 91204
(818) 550-0900
✔ PECOS✔ Accepts Medicare0.3 mi
Physical Therapist in Private Practice
NPI 1013634005
605 W CALIFORNIA AVE APT 4
Glendale, CA 91203
(323) 605-2182
✔ Accepts Medicare0.6 mi
Marriage and Family Therapist
NPI 1770611279
237 N CENTRAL AVE
Glendale, CA 91203
(818) 547-9544
✔ PECOS1.0 mi
Nurse Practitioner
NPI 1134637952
710 S CENTRAL AVE STE 330
Glendale, CA 91204
(818) 500-8739
✔ PECOS✔ Accepts Medicare1.1 mi
Physical Therapist in Private Practice
NPI 1306154398
500 W GLENOAKS BLVD
Glendale, CA 91202
(818) 637-2127
1.2 mi
Interventional Pain Management
NPI 1467867440
435 ARDEN AVE STE 530
Glendale, CA 91203
(818) 600-4337
✔ PECOS✔ Accepts Medicare1.2 mi
Family Practice
NPI 1104067628
634 PALM DR APPT # 203
Glendale, CA 91202
(818) 502-0769
✔ PECOS✔ Accepts Medicare1.2 mi
Pediatric Medicine
NPI 1366536419
444 W GLENOAKS BLVD
Glendale, CA 91202
(818) 552-3120
✔ PECOS1.3 mi
Anesthesiology
NPI 1386882181
3943 VESELICH AVE APT 175
Los Angeles, CA 90039
(818) 917-6091
✔ PECOS✔ Accepts Medicare1.3 mi
Clinical Social Worker
NPI 1174072896
550 N BRAND BLVD
Glendale, CA 91203
(305) 262-1292
✔ PECOS1.3 mi
Physical Medicine and Rehabilitation
NPI 1316362882
409 W GLENOAKS BLVD
Glendale, CA 91202
(872) 231-3162
✔ PECOS✔ Accepts Medicare1.3 mi
Internal Medicine
NPI 1326401852
1420 S CENTRAL AVE
Glendale, CA 91204
(818) 838-4587
✔ PECOS1.5 mi
Emergency Medicine
NPI 1760001697
1420 S CENTRAL AVE
Glendale, CA 91204
(818) 502-1900
✔ PECOS✔ Accepts Medicare1.5 mi
Cardiovascular Disease (Cardiology)
NPI 1457504029
1510 S CENTRAL AVE STE 150
Glendale, CA 91204
(818) 247-0160
✔ PECOS✔ Accepts Medicare1.5 mi
Hospice/Palliative Care
NPI 1568659985
715 N JACKSON ST # B
Glendale, CA 91206
(646) 244-2962
✔ PECOS1.6 mi
Optometry
NPI 1194188748
KAISER PERMANENTE LAMC DEPARTMENT OF OPTOMETRY 1515 N VERMONT AVENUE, 6TH FLOOR
Los Angeles, CA 90027
(800) 954-8000
✔ PECOS✔ Accepts Medicare1.7 mi
General Practice
NPI 1184842197
2242 CHESWIC LN
Los Angeles, CA 90027
(323) 663-7986
✔ PECOS2.6 mi
General Surgery
NPI 1689028227
1560 E CHEVY CHASE DR STE 430
Glendale, CA 91206
(818) 243-1135
✔ PECOS✔ Accepts Medicare2.6 mi
Obstetrics/Gynecology
NPI 1164866901
1505 WILSON TER STE 130
Glendale, CA 91206
(818) 409-8215
✔ PECOS✔ Accepts Medicare2.6 mi
Hospitalist
NPI 1699794594
1509 WILSON TER GLENDALE ADVENTIST MEDICAL CENTER
Glendale, CA 91206
(818) 409-8000
✔ PECOS✔ Accepts Medicare2.6 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 1346328853. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Southern California Permanente Medical Group located?

Southern California Permanente Medical Group is located at 4580 Electronics Pl, Los Angeles, CA 90039. The listed phone number is (818) 502-5940.

What is Southern California Permanente Medical Group's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

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, 2,503 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 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.