PERMANENTE MEDICAL GROUP INC – NPI #1336222397
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

PERMANENTE MEDICAL GROUP INC is a provider located in VALLEJO, CA. NPPES has assigned the NPI number 1336222397 to PERMANENTE MEDICAL GROUP INC on October 23, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Apr 14, 2025. 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
1336222397
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
975 SERENO DRIVE
VALLEJO, CA 94589-2441
Phone: (707) 651-1000 Fax:
1 Other location(s):
520 Chadbourne Rd
Fairfield, CA 94534-9656
Phone: (707) 366-3600
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
CHIEF FINANCIAL OFFICER
Phone: (510) 295-7207
Updated
Certification Date
Apr 14, 2025

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.

Identifiers

Identifiers for PERMANENTE MEDICAL GROUP INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherBLUE SHIELDZZZ31052Z
medicaidCAGR0046770
medicaidCAGR0015722
medicaidCAZZZ20727Z
medicaidCAGRN000111
medicaidCALAB85875F
medicaidCAZZZ20735Z
medicaidCAZZZ20736Z
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.

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
975 SERENO DR,
VALLEJO, CA 77025-1669