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

Active since June 06, 2008
43112 N 15TH ST, LANCASTER, CA 93534(661) 726-2279 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 27, 2021, Dec 29, 2020, Jan 23, 2020 and 1 more (4 updates tracked since 2020).

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 1982863783) is a healthcare organization registered as a health maintenance organization in Lancaster, California and active in the NPI registry since June 2008. The organization lists Ramin Davidoff, Executive Medical Director, as its authorized official.

NPPES Registry Identity

NPI1982863783
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NameSOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Location Address43112 N 15TH STLancaster, CA 93534-6219
Mailing Address393 E Walnut St, 3rd Floor, Phr Group & Provider EnrollmentPasadena, CA 91188-0001 · (626) 405-7914 · Fax (626) 406-4600
Organization SubpartNo
Authorized OfficialRamin DavidoffExecutive Medical Director · (877) 608-0044
Enumeration DateJune 6, 2008
Last NPPES UpdateMay 27, 20214 updates tracked since enumeration
NPPES CertifiedMay 27, 2021
✔ NPI 1982863783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHealth Maintenance OrganizationManaged Care Organizations
Taxonomy Code302R00000X
Definition
(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.
43112 N 15TH ST, Lancaster, CA 93534

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

13,847

Medicare enrollment records show 13,847 clinicians reassign Medicare billing to Southern California Permanente Medical Group, which bills Medicare for the services they deliver. Of these, 36 practice at this address and 167 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 Practitioner791
Anesthesiology593
Physical Therapist in Private Practice585
Obstetrics/Gynecology566
72 other specialties5,901

Nearest to this location (20)

See all 13,847
Nurse Practitioner
NPI 1912443003
43112 15TH ST W
Lancaster, CA 93534
(661) 726-2435
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1013128297
43112 15TH ST W
Lancaster, CA 93534
(661) 726-2224
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1467660068
43112 15TH ST W
Lancaster, CA 93534
(661) 726-2270
✔ Accepts MedicareSame address
Internal Medicine
NPI 1740433622
43112 15TH ST W
Lancaster, CA 93534
(833) 574-2273
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1588612022
43112 15TH ST W
Lancaster, CA 93534
(661) 726-2398
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1609357649
43112 15TH ST W
Lancaster, CA 93534
(661) 951-0070
✔ PECOSSame address
Dermatology
NPI 1770740862
43112 15TH ST W
Lancaster, CA 93534
(166) 166-1729
✔ PECOS✔ Accepts MedicareSame address
Hospice/Palliative Care
NPI 1477526846
43112 15TH ST W
Lancaster, CA 93534
(661) 726-2222
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1992972715
43112 15TH ST W
Lancaster, CA 93534
(661) 726-2226
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1922057918
43112 15TH ST W
Lancaster, CA 93534
(661) 729-7170
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1598076838
43112 15TH ST W
Lancaster, CA 93534
(661) 729-4431
✔ PECOSSame address
Preventive Medicine
NPI 1023285244
43112 15TH ST W KOJ-KAISER PERMANENTE MEDICAL OFFICES LANCASTER
Lancaster, CA 93534
(661) 726-2106
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1164408993
43112 15TH ST W
Lancaster, CA 93534
(661) 951-2826
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1699983288
43112 15TH ST W
Lancaster, CA 93534
(661) 726-2469
✔ Accepts MedicareSame address
Family Practice
NPI 1134351836
43112 15TH ST W
Lancaster, CA 93534
(877) 554-4404
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1821259516
43112 15TH ST W
Lancaster, CA 93534
(877) 554-4404
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1679513659
43112 15TH ST W
Lancaster, CA 93534
(661) 726-2224
✔ PECOSSame address
Hospice/Palliative Care
NPI 1063852168
43112 15TH ST W
Lancaster, CA 93534
(661) 723-2636
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1114239035
43112 15TH ST W
Lancaster, CA 93534
(661) 726-2135
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1992091243
43112 15TH ST W
Lancaster, CA 93534
(661) 729-4093
✔ PECOS✔ Accepts MedicareSame address
See all 13,847 clinicians

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 1982863783. It was assigned to this organization in the NPPES registry on June 6, 2008.

Where is Southern California Permanente Medical Group located?

Southern California Permanente Medical Group is located at 43112 N 15th St, Lancaster, CA 93534. The listed phone number is (661) 726-2279.

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), 13,847 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, 36 practice at this address and 167 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.