Organization · Type 2 NPI

Permanente Medical Group Inc

Internal Medicine Physician · Vallejo, CA

NPI number 1336222397 Active

Practice location

975 Sereno Drive
Vallejo, CA 94589-2441

Mailing address

5820 Owens Dr Bldg E2ND
Pleasanton, CA 94588-3900

Other practice locations

  • 520 Chadbourne Rd, Fairfield, CA 94534-9656 · (707) 366-3600

Specialties and licenses

TaxonomyCodeLicense
Anesthesiology Physician 207L00000XNone listed
Dermatology Physician 207N00000XNone listed
Emergency Medicine Physician 207P00000XNone listed
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician Primary 207R00000XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Ophthalmology Physician 207W00000XNone listed
Otolaryngology Physician 207Y00000XNone listed
Anatomic Pathology & Clinical Pathology Physician 207ZP0102XNone listed
Pediatrics Physician 208000000XNone listed
Physical Medicine & Rehabilitation Physician 208100000XNone listed
Psychiatry Physician 2084P0800XNone listed
Diagnostic Radiology Physician 2085R0202XNone listed
Surgery Physician 208600000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed

Internal Medicine Physician: 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 medi…

14 other providers at this address

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About NPI 1336222397

Permanente Medical Group Inc's National Provider Identifier is 1336222397, issued on Oct 23, 2006. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Vallejo, CA. The record was last updated on Oct 19, 2026.