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 1982863783

Southern California Permanente Medical Group is a Health Maintenance Organization in Lancaster, California. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

43112 N 15th St
Lancaster, CA 93534-6219
Phone: (661) 726-2279
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 number1982863783
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ramin Davidoff — Executive Medical Director · (877) 608-0044
NPI enumeratedJune 6, 2008
Last updated in NPPESMay 27, 2021
Certification dateMay 27, 2021
Mailing address393 E Walnut St, 3rd Floor, Phr Group & Provider Enrollment, Pasadena, CA 91188-0001

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