SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
NPI 1891873303
Clinical Medical Laboratory in N Hollywood, 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 1891873303) is a healthcare organization registered as a clinical medical laboratory in N Hollywood, 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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation 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).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
13,849Medicare 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, 2,305 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 80
Nearest to this location (20)
See all 13,849Panorama City, CA 91402
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 193
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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 1891873303. 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 11668 Sherman Way, N Hollywood, CA 91605. The listed phone number is (818) 503-6800.
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.
When is Southern California Permanente Medical Group's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Independent Clinical Laboratory) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
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, 2,305 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 May 27, 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.