The Kaiser Permanente Northern California region has three well-established and successful IVF centers located in Fremont, Sacramento, and San Francisco, which operate as a group practice and collectively manage 3,000 cycles annually. The Permanente Medical Group, Inc., (TPMG) is one of the largest medical groups in the nation with over 10,000 physicians, 21 medical centers, numerous clinics throughout Northern and Central California and an 80-year tradition of providing quality medical care.