OrganizationActive
Southern California Permanente Medical Group
NPI 1770515280 · Health Maintenance Organization · Baldwin Park, CA
Provider details
- NPI number
- 1770515280
- 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
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1011 Baldwin Park Blvd
Baldwin Park, CA 91706-5806
Phone: (626) 851-1011
Street-level locationGet directions
Mailing address
393 E Walnut St
Pasadena, CA 91188-0001
Registry dates
- Enumerated
- 2006-07-07
- Last updated
- 2021-10-01
- Certified
- 2021-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.