PERMANENTE MEDICAL GROUP, INC – NPI #1497971584
Clinical Medical Laboratory

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

PERMANENTE MEDICAL GROUP, INC is a clinical medical laboratory located in SAN JOSE, CA. NPPES has assigned the NPI number 1497971584 to PERMANENTE MEDICAL GROUP, INC on April 17, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 291U00000X from the Health Care Provider Taxonomy code set, which is classified as Clinical Medical Laboratory.

The NPI profile was last updated on Nov 20, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PERMANENTE MEDICAL GROUP, INC below.

NPI Profile for
PERMANENTE MEDICAL GROUP, INC

NPI Number
1497971584
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PERMANENTE MEDICAL GROUP, INC
Primary location
5755 COTTLE RD BLDG 6
TPMG REGIONAL GENETICS LAB
SAN JOSE, CA 95123-3640
Phone: (408) 972-3308 Fax:
Mailing address
5820 OWENS DR. BUILDING E, 2ND FLOOR
TPMG FINANCIAL MANAGEMENT
PLEASANTON, CA 94588-3900
Phone: Fax:
Organization Subpart
Yes - PERMANENTE MEDICAL GROUP, INC is subpart of another organization.
Authorized Official
PATRICIA WEST
VP FINANCE
Phone: (510) 295-7207
Updated
Certification Date
Nov 20, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
291U00000X
- Clinical Medical Laboratory (Primary)
CA CLF 11121

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Endpoint type
SOAP URL
Endpoint Description
CAREQUALITY
Content Type
OTHER
Affiliation
N
Endpoint Location
5755 COTTLE RD BLDG 6,
SAN JOSE, CA 77025-1669