SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
NPI 1982863783
Health Maintenance Organization in Lancaster, CA

NPI Status: Active since June 06, 2008

Contact Information

43112 N 15TH ST
LANCASTER, CA
ZIP 93534
Phone: (661) 726-2279

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  • Organization
  • Health Maintenance Organization
  • CLIA Number: 05D1103380
  • CLIA Cert. Type: Health Main. Organization
  • CLIA Exp. Date: 01-22-2027

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 Lancaster, California operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1982863783 assigned on June 2008. The practitioner's primary taxonomy code is 302R00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. Ramin Davidoff (Executive Medical Director)

NPI
1982863783
Provider Name
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Entity Type
Organization
Location Address
43112 N 15TH ST LANCASTER, CA 93534
Location Phone
(661) 726-2279
Mailing Address
393 E WALNUT ST 3RD FLOOR, PHR GROUP & PROVIDER ENROLLMENT PASADENA, CA 91188
Mailing Phone
(626) 405-7914
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-06-2008
Last Update Date
05-27-2021
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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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. RAMIN DAVIDOFF

Authorized Official Title
EXECUTIVE MEDICAL DIRECTOR
Authorized Official Phone
(877) 608-0044

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D1103380
Facility Type
Health Main. Organization
Certificate Effective Date
January 23, 2025
Certificate Expiration Date
January 22, 2027
Laboratory Director
NATHAN C. HO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Southern California Permanente Medical Group to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1982863783, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
2
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 8 → 16 → 7 3 → 6 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 6 + 2 + 1 + 6 + 6 + 6 + 7 + 1 + 6 + 24 = 77

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 77 is 80. The difference is the calculated check digit.

80 - 77 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1982863783.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982863783, enumerated as an "organization" on June 06, 2008.

The provider is located at 43112 N 15TH ST LANCASTER, CA 93534 and the phone number is (661) 726-2279.

Health Maintenance Organization with taxonomy code 302R00000X.