NPIMap

Vista Community Clinic

A Medicare group practice based in Vista, CA: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 0042120156), with 44 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0042120156The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
10
Group size
44 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
10In 5 places

Enrollment records 10

Enrollment IDStateProvider typeNPI
O20031223000690 CA Part B Supplier - Clinic/Group Practice 1295822658
O20090602000413 CA Part A Provider - Federally Qualified Health Center (FQHC) 1851300123
O20100831000708 CA Part A Provider - Federally Qualified Health Center (FQHC) 1295822658
O20100720000317 CA Part A Provider - Federally Qualified Health Center (FQHC) 1649363375
O20240102000670 CA Part A Provider - Federally Qualified Health Center (FQHC) 1497203541
O20231023001151 CA Part A Provider - Federally Qualified Health Center (FQHC) 1497203541
O20240828003455 CA Part A Provider - Federally Qualified Health Center (FQHC) 1497203541
O20220920003075 CA Part A Provider - Federally Qualified Health Center (FQHC) 1437245412
O20120604000473 CA Part A Provider - Federally Qualified Health Center (FQHC) 1437245412
O20170411002472 CA Part A Provider - Federally Qualified Health Center (FQHC) 1497203541

NPIs in this group 5

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 44

Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (44).

Sources for this page