SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
NPI 1891873303
Clinical Medical Laboratory in N Hollywood, CA

Active since November 01, 2006
11668 SHERMAN WAY, N HOLLYWOOD, CA 91605(818) 503-6800 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 27, 2021, Dec 29, 2020, Nov 11, 2019 (3 updates tracked since 2019).

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

NPI1891873303
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameSOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Location Address11668 SHERMAN WAYN Hollywood, CA 91605-5831
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 UpdateMay 27, 20213 updates tracked since enumeration
NPPES CertifiedMay 27, 2021
✔ NPI 1891873303 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.
11668 SHERMAN WAY, N Hollywood, CA 91605

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.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20091119000150Non-DME Part B · Independent Clinical LaboratoryDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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, 2,305 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
Nurse Practitioner
NPI 1841899705
7451 LANKERSHIM BLVD
North Hollywood, CA 91605
(818) 503-9800
✔ PECOS✔ Accepts Medicare0.3 mi
Marriage and Family Therapist
NPI 1225340276
6736 LAUREL CANYON BLVD
North Hollywood, CA 91606
(818) 633-8990
✔ PECOS✔ Accepts Medicare0.8 mi
Clinical Social Worker
NPI 1831562495
6736 LAUREL CANYON BLVD STE 200
North Hollywood, CA 91606
(818) 824-9830
✔ PECOS0.8 mi
Pediatric Medicine
NPI 1588670533
11631 VICTORY BLVD #101
North Hollywood, CA 91606
(818) 764-8838
✔ PECOS1.0 mi
Marriage and Family Therapist
NPI 1891157251
6400 LAUREL CANYON BLVD STE 500
North Hollywood, CA 91606
(818) 901-6376
✔ PECOS1.1 mi
Nurse Practitioner
NPI 1497536874
6237 KRAFT AVE
North Hollywood, CA 91606
(818) 644-9035
✔ PECOS✔ Accepts Medicare1.3 mi
Optometry
NPI 1740621010
6801 COLDWATER CANYON AVE
North Hollywood, CA 91605
(818) 301-6396
✔ PECOS✔ Accepts Medicare1.6 mi
Clinical Social Worker
NPI 1386092237
12105 ALLEGHENY ST
Sun Valley, CA 91352
(323) 217-4481
✔ PECOS✔ Accepts Medicare2.4 mi
Family Practice
NPI 1942453709
5250 LANKERSHIM BLVD FL 8
North Hollywood, CA 91601
(888) 778-5000
✔ PECOS✔ Accepts Medicare2.5 mi
Pediatric Medicine
NPI 1376703009
8001 VENTURA CANYON AVE # 186
Panorama City, CA 91402
(999) 999-9999
✔ PECOS2.6 mi
Urology
NPI 1417975608
191 S BUENA VISTA ST STE 235
Burbank, CA 91505
(818) 524-2003
✔ PECOS✔ Accepts Medicare2.7 mi
Internal Medicine
NPI 1851895288
13651 WILLARD STREET
Panorama City, CA 91402
(833) 574-2273
✔ PECOS2.7 mi
Anesthesiology
NPI 1285130559
13651 WILLARD ST
Los Angeles, CA 91402
(866) 362-4939
✔ PECOS✔ Accepts Medicare2.7 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1932887759
13651 WILLARD STREET
Panorama City, CA 91402
(833) 574-2273
✔ Accepts Medicare2.7 mi
Emergency Medicine
NPI 1518129311
13651 WILLARD STREET
Panorama City, CA 91402
(818) 375-2000
✔ PECOS✔ Accepts Medicare2.7 mi
Diagnostic Radiology
NPI 1942687447
13651 WILLARD STREET
Panorama City, CA 91402
(833) 572-2273
✔ PECOS✔ Accepts Medicare2.7 mi
Otolaryngology
NPI 1962693168
8110 WOODMAN AVE
Panorama City, CA 91402
(818) 375-1737
✔ PECOS✔ Accepts Medicare2.8 mi
Pain Management
NPI 1134446727
8110 WOODMAN AVE BLDG 5/AREA G20
Panorama City, CA 91402
(818) 375-4100
✔ PECOS✔ Accepts Medicare2.8 mi
Gastroenterology
NPI 1174855738
8110 WOODMAN AVE
Panorama City, CA 91402
(818) 375-2000
✔ PECOS✔ Accepts Medicare2.8 mi
Dermatology
NPI 1922105634
13652 CANTARA ST BLDG 6
Panorama City, CA 91402
(833) 574-2273
✔ PECOS✔ Accepts Medicare2.8 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.

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.

Blood creatinine level 82565
A blood creatinine level test measures the amount of creatinine in your blood. Creatinine is a waste product that your body produces when it uses energy. High levels may indicate that your kidneys aren't working properly. This test is often used to monitor kidney health.
3,223 services2,324 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
2,716 services1,916 patients
Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide) 80051
A blood test panel for electrolytes checks the levels of sodium, potassium, chloride, and carbon dioxide in your blood. These elements are crucial for body functions such as maintaining fluid balance, muscle contractions, and heart rhythm. The test helps identify any imbalances.
2,348 services1,869 patients
Liver enzyme (sgpt), level 84460
A liver enzyme (SGPT) level test is a blood test that checks the health of your liver. SGPT is an enzyme found in your liver cells. If your liver is damaged or inflamed, SGPT can leak into your bloodstream, raising the enzyme level. This test helps identify liver diseases early.
1,849 services1,501 patients
Urine microalbumin (protein) level 82043
The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.
1,462 services1,213 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
1,402 services1,237 patients

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.