Southern California Permanente Medical Group
NPI 1336556059 · Health Maintenance Organization · Fullerton, CA
Southern California Permanente Medical Group is a Health Maintenance Organization organization in Fullerton, CA (NPI 1336556059).
Provider details
- NPI number
- 1336556059
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Ramin Davidoff, Executive Medical Director(877) 608-0044
Specialties & taxonomies
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Target Clinic Medical Associates of Southern California
- Doing business as
- Target Clinic Medical Associates of Southern California
Registry dates
- Enumerated
- 2014-07-15
- Last updated
- 2021-11-02
- Certified
- 2021-11-02
Frequently asked questions
- What is Southern California Permanente Medical Group's NPI number?
- Southern California Permanente Medical Group's National Provider Identifier (NPI) is 1336556059, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern California Permanente Medical Group?
- Southern California Permanente Medical Group is classified in the NPPES registry as Health Maintenance Organization (Managed Care Organizations).
- Where is Southern California Permanente Medical Group located?
- Southern California Permanente Medical Group's practice location on file with NPPES is 1893 W Malvern Ave, Fullerton, CA 92833-2403.
- What is Southern California Permanente Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Southern California Permanente Medical Group is (877) 608-0044.
- Who is the authorized official for Southern California Permanente Medical Group?
- The authorized official listed on Southern California Permanente Medical Group's NPPES record is Ramin Davidoff, Executive Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern California Permanente Medical Group's NPI active?
- Yes — Southern California Permanente Medical Group's NPI (1336556059) is active in the NPPES registry as of the last update on 2021-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.