SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
NPI 1407888928
Health Maintenance Organization in Panorama City, CA
NPI Status: Active since July 07, 2006
Contact Information
13652 CANTARA ST
PANORAMA CITY, CA
ZIP 91402
Phone: (818) 375-2000
- Organization
- Health Maintenance Organization
About SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Southern California Permanente Medical Group, a provider established in Panorama City, California operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1407888928 assigned on July 2006. The practitioner's primary taxonomy code is 302R00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dr. Ramin Davidoff Md (Executive Medical Director)
- NPI
- 1407888928
- Provider Name
- SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- 13652 CANTARA ST PANORAMA CITY, CA 91402
- Location Phone
- (818) 375-2000
- Mailing Address
- 393 E WALNUT ST 3RD FL PHR GROUP & PROVIDER ENROLLMENT PASADENA, CA 91188
- Mailing Phone
- (626) 405-7914
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-07-2006
- Last Update Date
- 11-02-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Health Maintenance Organization
- Taxonomy Code
- 302R00000X
- Type
- Managed Care Organizations
- Taxonomy Description
- (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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
ZZZ36694Z | MEDICAID (05) | CA |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 4 | 0 | 7 | 8 | 8 | 8 | 9 | 2 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 0 | 7 | 16 | 8 | 16 | 9 | 4 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 4 + 0 + 7 + 1 + 6 + 8 + 1 + 6 + 9 + 4 + 24 = 72 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 72 = 8 | 8 |
The NPI number 1407888928 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
CAROL L. BROWN RNP
Nurse Practitioner
(Family)
13652 CANTARA ST
POPULATION CARE SOUTH 1
PANORAMA CITY, CA
ZIP 91402
DR. DEWEY T WONG PHARM.D.
Pharmacist
(Pharmacotherapy)
13652 CANTARA ST
KAISER PERMANENTE
PANORAMA CITY, CA
ZIP 91402
SIBYLLE THERESIA RAMSEY CALDWELL M.S.
Genetic Counselor, MS
13652 CANTARA ST
KAISER PERMANENTE
PANORAMA CITY, CA
ZIP 91402
TINA J WOOLFORK NP
Nurse Practitioner
13652 CANTARA ST
PANORAMA CITY, CA
ZIP 91402
DR. ARTHUR A. FLEISHER II M.D.
Obstetrics & Gynecology
13652 CANTARA ST
NORTH 3
PANORAMA CITY, CA
ZIP 91402
MS. SUNNY HE LEE PHARM.D.
Pharmacist
13652 CANTARA ST
PANORAMA CITY, CA
ZIP 91402
PATRICK WARREN KERRIGAN PHARM.D.
Pharmacist
13652 CANTARA ST
ROOM #214
PANORAMA CITY, CA
ZIP 91402
DR. JULIE KAYU HUANG PHARM.D.
Pharmacist
13652 CANTARA ST
INPATIENT PHARMACY
PANORAMA CITY, CA
ZIP 91402
RIDHIKA KAPUR MD
Internal Medicine
13652 CANTARA ST
PANORAMA CITY, CA
ZIP 91402
JOANN L. MENDOZA MD
Internal Medicine
13652 CANTARA ST
PANORAMA CITY, CA
ZIP 91402
KIHYUN PARK PHARM.D
Pharmacist
13652 CANTARA ST
IN-PATIENT PHARMACY (ROOM 214)
PANORAMA CITY, CA
ZIP 91402
MRS. ANNA HYUNHEE CHUNG PHARM.D
Pharmacist
13652 CANTARA ST
PANORAMA CITY, CA
ZIP 91402
H. HENRY CHEN PHARM.D.
Pharmacist
13652 CANTARA ST
ROOM 214
PANORAMA CITY, CA
ZIP 91402
DR. ALEXANDER MICHAEL POLZIN PHARMD
Pharmacist
13652 CANTARA ST
PANORAMA CITY, CA
ZIP 91402
DR. LETICIA HERNANDEZ PHARM. D
Pharmacist
13652 CANTARA ST
PANORAMA CITY, CA
ZIP 91402
DR. MARK WADE LOW PHARM.D.
Pharmacist
13652 CANTARA ST
PANORAMA CITY, CA
ZIP 91402
DR. NAHLA DOUS PHARM.D.
Pharmacist
13652 CANTARA ST
RM 214
PANORAMA CITY, CA
ZIP 91402
AHMED SALEEM PHARM D
Pharmacist
13652 CANTARA ST
PANORAMA CITY, CA
ZIP 91402
DR. CHRISTOPHER JOHN BOOTH PHARM.D.
Pharmacist
13652 CANTARA ST
(INPATIENT PHARMACY)
PANORAMA CITY, CA
ZIP 91402
DR. CYNTHIA DENISE FANUSIE PHARM.D
Pharmacist
13652 CANTARA ST
PANORAMA CITY, CA
ZIP 91402
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407888928, enumerated as an "organization" on July 07, 2006.
The provider is located at 13652 CANTARA ST PANORAMA CITY, CA 91402 and the phone number is (818) 375-2000.
Health Maintenance Organization with taxonomy code 302R00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.