Southern California Permanente Medical Group
NPI 1891873303 · Clinical Medical Laboratory · N Hollywood, CA
Enrolled with Medicare as Part B Supplier - Independent Clinical Laboratory · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern California Permanente Medical Group is a Clinical Medical Laboratory organization in N Hollywood, CA (NPI 1891873303).
Provider details
- NPI number
- 1891873303
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Ramin Davidoff, Executive Medical Director(877) 608-0044
Specialties & taxonomies
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
37,573 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Blood Creatinine Level82565 | 3,223 | $5 |
| Hemoglobin A1c Level83036 | 2,716 | $10 |
| Blood Test Panel for Electrolytes (sodium Potassium, Chloride, Carbon Dioxide)80051 | 2,348 | $7 |
| Liver Enzyme (sgpt), Level84460 | 1,849 | $5 |
| Urine Microalbumin (protein) Level82043 | 1,462 | $6 |
| Blood Test, Lipids (cholesterol and Triglycerides)80061 | 1,402 | $13 |
| Blood Test, Thyroid Stimulating Hormone (tsh)84443 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2021-05-27
- Certified
- 2021-05-27
Frequently asked questions
- What is Southern California Permanente Medical Group's NPI number?
- Southern California Permanente Medical Group's National Provider Identifier (NPI) is 1891873303, 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 Clinical Medical Laboratory (Laboratories).
- Where is Southern California Permanente Medical Group located?
- Southern California Permanente Medical Group's practice location on file with NPPES is 11668 Sherman Way, N Hollywood, CA 91605-5831.
- 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 (818) 503-6800.
- Does Southern California Permanente Medical Group accept Medicare?
- Southern California Permanente Medical Group is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- 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 (1891873303) is active in the NPPES registry as of the last update on 2021-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.