SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
NPI 1689606196
Health Maintenance Organization in Fontana, CA
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 1689606196) is a healthcare organization registered as a health maintenance organization in Fontana, 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
Specialties & Licenses
Other Identifiers 1
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
5,204Medicare 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, 555 practice at this address and 1,177 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 71
Nearest to this location (20)
See all 5,204Fontana, CA 92335
Fontana, CA 92335
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 1689606196. 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 9961 Sierra Ave, Fontana, CA 92335. The listed phone number is (909) 427-3910.
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, 555 practice at this address and 1,177 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.