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PERMANENTE MEDICAL GROUP INC NPI 1639252604


NPI Information

NPI: 1639252604
Provider Name: PERMANENTE MEDICAL GROUP INC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 05D0694014

Address:
1190 VETERANS BLVD
REDWOOD CITY, CA
ZIP 94063
Phone: (650) 299-2000
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PERMANENTE MEDICAL GROUP INC is an internal medicine in Redwood City, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PERMANENTE MEDICAL GROUP INC NPI is 1639252604. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1190 VETERANS BLVD
REDWOOD CITY, CA
ZIP 94063-037
Phone: (650) 299-2000

The provider's authorized official is Patricia T West .
The authorized official title is Chief Financial Officer and has the following contact phone number (510) 295-7207.

The CLIA number assigned to this NPI record is 05D0694014 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/23/2006 and was last updated on 10/5/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiologyNo
2207N00000XDermatologyNo
3207P00000XEmergency MedicineNo
4207Q00000XFamily MedicineNo
5207V00000XObstetrics & GynecologyNo
6207W00000XOphthalmologyNo
7207X00000XOrthopaedic SurgeryNo
8207Y00000XOtolaryngologyNo
9207ZP0102XPathologyAnatomic Pathology & Clinical PathologyNo
10208000000XPediatricsNo
11208100000XPhysical Medicine & RehabilitationNo
122084P0800XPsychiatry & NeurologyPsychiatryNo
132085R0202XRadiologyDiagnostic RadiologyNo
14208600000XSurgeryNo
15207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GRE00108FMEDICAIDCALIFORNIA
2ZZZ20730ZOTHERBLUE SHIELD
3ZZZ20730ZMEDICAIDCALIFORNIA
4ZZZ27679ZOTHERMEDICARE RAILROAD
5ZZZ20729ZOTHERBLUE SHIELD
6GR0046773MEDICAIDCALIFORNIA
7GRE001082MEDICAIDCALIFORNIA
8GRN000115MEDICAIDCALIFORNIA
9GRN00011DMEDICAIDCALIFORNIA
10ZZZ20729ZOTHERMEDICARE RAILROAD
11LAB62466FMEDICAIDCALIFORNIA
12ZZZ20729ZMEDICAIDCALIFORNIA
13ZZZ20730ZOTHERMEDICARE RAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.