Northbay Physicians Surgery Center, LLC

A Medicare group practice based in Fairfield, CA: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 0042122244), with 557 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0042122244The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice, Part B Supplier - Intensive Cardiac Rehabilitation, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
CA
Enrollments
4
Group size
336 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
24In 7 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20031105000409 CA Part B Supplier - Clinic/Group Practice 1821147786
O20250703003271 CA Part B Supplier - Intensive Cardiac Rehabilitation 1760534713
O20101018000818 CA Part A Provider - Hospital 1821147786
O20210310002855 CA Part B Supplier - Mass Immunization (Roster Biller Only) 1558891325

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 557

Page 1 of 6

Clinicians who reassign their Medicare benefits to this group (556) or whom Care Compare lists as members (336).

Sources for this page