Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern California Permanente Medical Group

Organization Health Maintenance Organization · NPI 1609446814

Southern California Permanente Medical Group is a Health Maintenance Organization in Fontana, California. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

17284 Slover Ave Ste 205
Fontana, CA 92337-7584
Phone: (626) 405-6942
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Maintenance Organization (primary) Taxonomy 302R00000X

Record details

NPI number1609446814
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Khang Nguyen — Director · (626) 405-6942
NPI enumeratedJune 29, 2021
Last updated in NPPESJune 29, 2021
Certification dateJune 29, 2021
Mailing address17284 Slover Ave Ste 205, Fontana, CA 92337-7584

Other providers in Fontana