| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1013409036 | | | | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1013409044 | | | | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1164914115 | | | | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1316409410 | | | | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP | 393 E WALNUT ST FL 3 | PASADENA | CA | 911880001 |
| 1821635079 | | | | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP | 393 E WALNUT ST GPEU 3RD FLOOR | PASADENA | CA | 911881070 |
| 1891287827 | | | | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1508058108 | AGRAWAL | RANJANI | | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1992297717 | ALDAOUD | SAAD | GHALEB | | 393 E WALNUT ST FL 3 | PASADENA | CA | 911880001 |
| 1649285321 | ALLMOND | LEONARD | R | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1578573697 | ALMOND | QUINCY | | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1720394331 | AVELAR | ANTHONY | EDWARD | | 393 E WALNUT ST FL 3 | PASADENA | CA | 911880001 |
| 1245443175 | BERDJIS | VAHID | MUZAFFAR | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1932361011 | BHAKTA | DIPESHBHAI | R | | PHR GROUP PROVIDER ENROLLMENT UNIT | PASADENA | CA | 911880001 |
| 1154581965 | BIEWENGA | ERIC | DONALD | | PHR GROUP PROVIDER ENROLLMENT UNIT | PASADENA | CA | 911880001 |
| 1710179791 | BUFFORD | TAEKO | | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1629271408 | CAIVANO | DIEGO | MARTIN | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1033669213 | CHANG | SUN HWA | | | 393 EAST WALNUT ST. | PASADENA | CA | 911880001 |
| 1215004171 | CHANG | WEI-CHAO | | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1568526473 | CHAWLA | MADHU | | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1134337215 | CHO | EMILIA | | | PHR GROUP PROVIDER ENROLLMENT UNIT | PASADENA | CA | 911880001 |
| 1841458536 | CHUNG | CAROL | | | 393 E WALNUT ST FL 3 | PASADENA | CA | 911880001 |
| 1265636302 | CICILEO | JULIE | M | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1184889230 | COKER | JASON | RANDOLPH | | 4867 W SUNSET BLVD | LOS ANGELES | CA | 900275969 |
| 1093977282 | CONWELL | WALTER | DANTE | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1053759357 | CROSS | RACHELLE | Q | | 393 E WALNUT ST FL 3 | PASADENA | CA | 911880001 |
| 1740522408 | DANG | CHUONG | DINH | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1740357565 | DANG | CHUONG MICHAEL | VAN | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1285892620 | DANG | TOAN | TRAN | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1194173047 | DAVIS | DANIEL | | | PHR GROUP PROVIDER ENROLLMENT UNIT | PASADENA | CA | 911880001 |
| 1578634531 | DOES | ALEC | V. | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1073778205 | ELGHOUL | HABIB | | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1033596556 | EVANS | AUSTIN | GODFREY | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1841637360 | FAJILAN | ADRIEL | ANDREW | | 393 E WALNUT ST FL 3 | PASADENA | CA | 911880001 |
| 1528010204 | FERNANDO | IRENE | RODRIGUEZ | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1598767204 | FLETCHER | KIMBERLY | A | | PHR GROUP PROVIDER ENROLLMENT UNIT 3RD FL | PASADENA | CA | 911880001 |
| 1457428328 | FUNAHASHI | TADASHI | T. | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1134640121 | GARCIA DIAZ | MAYRA | ALEXANDRA | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1366951253 | GLIDEWELL | KELSEY | MARIE | | PHR GROUP PROVIDER ENROLLMENT UNIT | PASADENA | CA | 911880001 |
| 1346599073 | HARRINGTON | KRISTEN | | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1114346830 | HARRIS-NADDELL | MARITA | | | PHR GROUP PROVIDER ENROLLMENT UNIT | PASADENA | CA | 911880001 |
| 1659429686 | HENRY | TASMIA | QAMAR | | 9449 IMPERIAL HWY | DOWNEY | CA | 902422814 |
| 1104196120 | HESS | JAMIE | MEILY | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1699891168 | HILLMAN | MILDRED | V | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1184011066 | HUGHES | JEFFREY | | | PHR GROUP PROVIDER ENROLLMENT UNIT | PASADENA | CA | 911880001 |
| 1033537816 | JOONIANI | IRANDOKHT | MIRZAEI | | PHR GROUP PROVIDER ENROLLMENT UNIT | PASADENA | CA | 911880001 |
| 1326458043 | KABIRIAN | NIMA | | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1124297395 | KATSUMI | HIROSHI | KAN | | 393 E WALNUT ST | PASADENA | CA | 91188 |
| 1255839791 | KEOUGH | PORTIA | ANN | | 393 E WALNUT ST FL 3 | PASADENA | CA | 911880001 |
| 1154566248 | KERMANI | CYRUS | | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1316389265 | KHAN | YASIR | | | PHR GROUP PROVIDER ENROLLMENT UNIT | PASADENA | CA | 911880001 |
| 1003100579 | KILLEEN | JAMES | DAVID | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1801150800 | KINKEAD | JANET | J | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1093133175 | KO | HUAISING | CINDY | | PHR GROUP PROVIDER ENROLLMENT UNIT | PASADENA | CA | 911880001 |
| 1982849600 | KOWALLIS | DAVID | WRIGHT | | 393 E WALNUT ST PHR GROUP UNIT 3RD FL | PASADENA | CA | 911880001 |
| 1881078707 | LEE | DAE-WON | | | PHR GROUP PROVIDER ENROLLMENT UNIT | PASADENA | CA | 911880001 |
| 1689092140 | LEE | NICHOLAS | | | 393 E WALNUT ST FL 3 | PASADENA | CA | 911880001 |
| 1518161728 | LIAO | MARTHA | LEE | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1255658076 | LIPANA | LAWRENCE EIDREF | SANTIAGO | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1215900196 | LUETKEHANS | KIRK | JOSEPH | | 393 E WALNUT ST FL 3 | PASADENA | CA | 911880001 |
| 1861752321 | MA | JUN | | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1386861243 | MANN | STEVEN | | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1467531392 | MITCHELL | CLINTON | AARON | | PHR GROUP PE UNIT 3RD FLOOR | PASADENA | CA | 911880001 |
| 1851771885 | MIYAKE | TODD | | | PHR GROUP PROVIDER ENROLLMENT UNIT | PASADENA | CA | 911880001 |
| 1689100612 | MORONES | NOHEMY | | | PHR GROUP PROVIDER ENROLLMENT UNIT | PASADENA | CA | 911880001 |
| 1437237930 | NAZARI | MOHAMMAD | | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1467421594 | NELSON | JOY | MARKHAM | | 27107 TOURNEY RD | SANTA CLARITA | CA | 913551860 |
| 1073729695 | NETTAR | KARTIK | DEEPAK | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1427256502 | NIU | DAVID | CHI-MING | | 9961 SIERRA AVE | FONTANA | CA | 923356720 |
| 1154755296 | OLIVER | KENDRA | ANNETTE | | 393 E WALNUT ST FL 3 | PASADENA | CA | 911880001 |
| 1275604209 | PATWARDHAN | JAYASHREE | V. | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1073684049 | PFEFFER | THOMAS | A. | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1811123565 | REDER | LINDSAY | S | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1588670533 | RODRIGUEZ | JORGE | EDUARDO | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1326240557 | RUBENZIK | MARC | KEVIN | | 393 E WALNUT STREET | PASADENA | CA | 911880001 |
| 1245401298 | SALEM | RAMSEY | ABDUL | | 4867 W. SUNSET BLVD | LOS ANGELES | CA | 90027 |
| 1942453709 | SHAMALIAN | ARLET | | | 393 E WALNUT ST FL 3 | PASADENA | CA | 911880001 |
| 1154684702 | SON | ANDREW | K | | 393 E WALNUT ST 3RD FL | PASADENA | CA | 911880001 |
| 1083781827 | STALEY | VALLORY | F | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1245748805 | SUH | YOOJIN | | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1386671923 | SZABO | RICHARD | JULIUS | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1841528346 | TABILA | EDGAR | VINCENT | | PHR GROUP PROVIDER ENROLLMENT UNIT 3RD FL | PASADENA | CA | 911880001 |
| 1992341606 | TAN | BRIANA | | | 393 E WALNUT ST FL 3 | PASADENA | CA | 911880001 |
| 1710166749 | TOMASSI | MICHELLE | | | 393 E WALNUT ST FL 3 | PASADENA | CA | 911880001 |
| 1972795821 | TOMLIN | SHELLY | L. | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1538349899 | TRAINER | GABRIEL | TOMAS | | 2295 S VINEYARD AVE | ONTARIO | CA | 917617925 |
| 1346638491 | TRAN | KEVIN | | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1003058348 | TSAY | ANNA TERESA | MENDOZA | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1700037892 | UNDA-RIVERA | RAFAEL | FRANCISCO | | E4985 QUEENS DR | ELEVA | WI | 547384143 |
| 1003024977 | VIRULHSRI | PAWENA | | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1457428674 | WANG | JIM | C. | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1649204397 | WANG | VICTOR | SHERWIN | | PHR GROUP PROVIDER ENROLLMENT UNIT 3RD FL | PASADENA | CA | 911880001 |
| 1164845616 | WATSON | MICHELLE | | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1932322096 | WHITTAKER | BEN | D | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1538579073 | WIN | HTET HTET | | | PHR GROUP PROVIDER ENROLLMENT UNIT | PASADENA | CA | 911880001 |
| 1659336402 | WONG | JOHN | | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1487036380 | YOUNG | GEORGE | | | 393 E WALNUT ST | PASADENA | CA | 911880001 |
| 1326570540 | ZARECKI | ESTHER | | | 393 E WALNUT ST FL 3 | PASADENA | CA | 911880001 |