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PERMANENTE MEDICAL GROUP INC
NPI 1639252604
Internal Medicine in Redwood City, CA

Active since October 23, 2006CLIA Certified · 2 labs
1190 VETERANS BLVD, REDWOOD CITY, CA 94063(650) 299-2000 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 20, 2024, Oct 5, 2021, Jul 12, 2021 and 1 more (4 updates tracked since 2020).

About Permanente Medical Group Inc NPPES

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

PERMANENTE MEDICAL GROUP INC (NPI 1639252604) is a healthcare organization registered as an internal medicine in Redwood City, California and active in the NPI registry since October 2006. The organization holds 2 active CLIA laboratory certificates and lists Patricia T West, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1639252604
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePERMANENTE MEDICAL GROUP INC
Location Address1190 VETERANS BLVDRedwood City, CA 94063-2037
Mailing Address5820 Owens Dr. Building E, 2nd Floor, Tpmg Financial ManagementPleasanton, CA 94588-3900
Phone(650) 299-2000
Organization SubpartYesParent: Permanente Medical Group, Inc.
Authorized OfficialPatricia T WestChief Financial Officer · (510) 295-7207
Enumeration DateOctober 23, 2006
Last NPPES UpdateNovember 20, 20244 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
✔ NPI 1639252604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedDermatologyTaxonomy 207N00000X
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOphthalmologyTaxonomy 207W00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedSurgeryTaxonomy 208600000X
1190 VETERANS BLVD, Redwood City, CA 94063
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Other Identifiers 13

OtherZZZ20729ZMedicare Railroad
OtherZZZ20730ZMedicare Railroad
MedicaidGR0046773CA
MedicaidGRN00011DCA
OtherZZZ20729ZBlue Shield
MedicaidGRE001082CA
MedicaidLAB62466FCA
OtherZZZ20730ZBlue Shield
MedicaidZZZ20730ZCA
MedicaidZZZ20729ZCA
OtherZZZ27679ZMedicare Railroad
MedicaidGRE00108FCA
MedicaidGRN000115CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0694014

Permanente Medical Group Inc Marshall Mob Laboratory · Redwood City, CA
Active · expires Dec 31, 2027
CLIA Number05D0694014
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorAhchean A. Chen
Laboratory Phone(650) 299-2205
Laboratory LocationPermanente Medical Group Inc Marshall Mob Laboratory905 Maple St, Redwood City, CA 94063
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D1038160

Permanente Medical Group Inc Maple Ppmp Laboratory · Redwood City, CA
Active · expires Mar 10, 2027
CLIA Number05D1038160
Laboratory TypePhysician Office
Certificate Effective DateMarch 11, 2025
Certificate Expiration DateMarch 10, 2027
Laboratory DirectorDr. Denise Woo
Laboratory Phone(650) 299-2205
Laboratory LocationPermanente Medical Group Inc Maple Ppmp Laboratory1400 Veterans Blvd, Redwood City, CA 94063
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRANK LIEN DO
Family Medicine
1190 VETERANS BLVD
REDWOOD CITY, CA 94063
San Mateo County (650) 299-2234
FRANCES WEISSBART NP, ANP
Nurse Practitioner
1190 VETERANS BLVD, CARDIOLOGY DEPARTMENT
REDWOOD CITY, CA 94063
San Mateo County (650) 299-2045
MS. ROBERTA HECK NP
Nurse Practitioner (Adult Health)
1190 VETERANS BLVD
REDWOOD CITY, CA 94063
San Mateo County (650) 299-3614
DAISY NGUYEN
Pharmacist (Ambulatory Care)
1190 VETERANS BLVD
REDWOOD CITY, CA 94063
San Mateo County (650) 299-3762
CHRISTOPHER RODRIGUEZ M.D.,M.S.
Internal Medicine
1190 VETERANS BLVD, CYPRESS BLDG.
REDWOOD CITY, CA 94063
San Mateo County (650) 299-2015
KIRTH CUCUECO MD
Internal Medicine
1190 VETERANS BLVD
REDWOOD CITY, CA 94063
San Mateo County (650) 299-2015
CHRISTINE V DUONG PHARMD
Pharmacist
1190 VETERANS BLVD
REDWOOD CITY, CA 94063
San Mateo County (650) 299-3762
CHRISTINE CHI MIN WU
Pharmacist
1190 VETERANS BLVD
REDWOOD CITY, CA 94063
San Mateo County (650) 299-2234

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 Permanente Medical Group Inc's NPI number?

The NPI number for Permanente Medical Group Inc is 1639252604. It was assigned to this organization in the NPPES registry on October 23, 2006.

Where is Permanente Medical Group Inc located?

Permanente Medical Group Inc is located at 1190 Veterans Blvd, Redwood City, CA 94063. The listed phone number is (650) 299-2000.

What is Permanente Medical Group Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Permanente Medical Group Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Permanente Medical Group Inc was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.