1336222397 PERMANENTE MEDICAL GROUP INC

Internal Medicine Physician

Active

Basic Information

Organization Name
PERMANENTE MEDICAL GROUP INC
Enumeration Date
October 23, 2006
Last Update
April 14, 2025
Authorized Official
MS. PATRICIA T WEST
CHIEF FINANCIAL OFFICER
Phone: (510) 295-7207

Practice Location

Address
975 SERENO DRIVE
VALLEJO, CA 945892441
Phone
(707) 651-1000

Mailing Address

Address
5820 OWENS DR. BUILDING E, 2ND FLOOR
TPMG FINANCIAL MANAGEMENT
PLEASANTON, CA 945883900
Phone
N/A

Specialties & Taxonomies

Specialty Code Classification License State Primary
Anesthesiology Physician
 207L00000X Anesthesiology N/A N/A No
Dermatology Physician
 207N00000X Dermatology N/A N/A No
Emergency Medicine Physician
 207P00000X Emergency Medicine N/A N/A No
Family Medicine Physician
 207Q00000X Family Medicine N/A N/A No
Obstetrics & Gynecology Physician
 207V00000X Obstetrics & Gynecology N/A N/A No
Ophthalmology Physician
 207W00000X Ophthalmology N/A N/A No
Otolaryngology Physician
 207Y00000X Otolaryngology N/A N/A No
Anatomic Pathology & Clinical Pathology Physician
Anatomic Pathology & Clinical Pathology
 207ZP0102X Pathology N/A N/A No
Pediatrics Physician
 208000000X Pediatrics N/A N/A No
Physical Medicine & Rehabilitation Physician
 208100000X Physical Medicine & Rehabilitation N/A N/A No
Psychiatry Physician
Psychiatry
 2084P0800X Psychiatry & Neurology N/A N/A No
Diagnostic Radiology Physician
Diagnostic Radiology
 2085R0202X Radiology N/A N/A No
Surgery Physician
 208600000X Surgery N/A N/A No
Mental Health Clinic/Center (Including Community Mental Health Center)
Mental Health (Including Community Mental Health Center)
 261QM0801X Clinic/Center N/A N/A No
Internal Medicine Physician
 207R00000X Internal Medicine N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
ZZZ20736Z 05 CA N/A
ZZZ20727Z 05 CA N/A
ZZZ31052Z 01 N/A BLUE SHIELD
LAB85875F 05 CA N/A
GR0015722 05 CA N/A
GR0046770 05 CA N/A
GRN000111 05 CA N/A
ZZZ20735Z 05 CA N/A

Additional Practice Locations

520 Chadbourne Rd
Fairfield, CA 945349656

Phone: (707) 366-3600

Digital Endpoints

SOAP Use: HIE

https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq

Carequality

Frequently Asked Questions

What is PERMANENTE MEDICAL GROUP INC's NPI number?
PERMANENTE MEDICAL GROUP INC's NPI number is 1336222397.
Which doctor has NPI number 1336222397?
The doctor with NPI number 1336222397 is PERMANENTE MEDICAL GROUP INC.
What is PERMANENTE MEDICAL GROUP INC's practice address?
PERMANENTE MEDICAL GROUP INC's practice address is 975 SERENO DRIVE, VALLEJO, CA, 945892441.
Which doctor practices at 975 SERENO DRIVE, VALLEJO, CA, 945892441?
PERMANENTE MEDICAL GROUP INC practices at 975 SERENO DRIVE, VALLEJO, CA, 945892441.
What is PERMANENTE MEDICAL GROUP INC's mailing address?
PERMANENTE MEDICAL GROUP INC's mailing address is 5820 OWENS DR. BUILDING E, 2ND FLOOR, TPMG FINANCIAL MANAGEMENT, PLEASANTON, CA, 945883900.
What is PERMANENTE MEDICAL GROUP INC's phone number?
PERMANENTE MEDICAL GROUP INC's phone number is (707) 651-1000.
Who is (707) 651-1000?
(707) 651-1000 is the phone number for PERMANENTE MEDICAL GROUP INC.
What is PERMANENTE MEDICAL GROUP INC's specialty?
PERMANENTE MEDICAL GROUP INC's specialty is Internal Medicine Physician.
What type of doctor is PERMANENTE MEDICAL GROUP INC?
PERMANENTE MEDICAL GROUP INC is a Internal Medicine Physician.
Is PERMANENTE MEDICAL GROUP INC a Internal Medicine?
Yes, PERMANENTE MEDICAL GROUP INC is a Internal Medicine.
Is PERMANENTE MEDICAL GROUP INC still practicing?
Yes, PERMANENTE MEDICAL GROUP INC is currently practicing.
Is PERMANENTE MEDICAL GROUP INC accepting new patients?
PERMANENTE MEDICAL GROUP INC may be accepting new patients. Please call their office at (707) 651-1000 to inquire about availability.
Is NPI 1336222397 still active?
Yes, NPI 1336222397 is currently active.
Where does PERMANENTE MEDICAL GROUP INC practice?
PERMANENTE MEDICAL GROUP INC practices in VALLEJO, CA.