Santa Rosa Community Health Centers

A Medicare group practice based in Santa Rosa, CA: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 0345130423), with 204 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0345130423The 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
6
Group size
69 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
11In 1 place

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20040319001444 CA Part B Supplier - Clinic/Group Practice 1578631172
O20070410000292 CA Part A Provider - Federally Qualified Health Center (FQHC) 1386712065
O20070410000283 CA Part A Provider - Federally Qualified Health Center (FQHC) 1578631172
O20230731003465 CA Part A Provider - Federally Qualified Health Center (FQHC) 1467180430
O20180411002373 CA Part A Provider - Federally Qualified Health Center (FQHC) 1780195255
O20170216002246 CA Part A Provider - Federally Qualified Health Center (FQHC) 1518345511

NPIs in this group 6

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 204

Page 1 of 3

Clinicians who reassign their Medicare benefits to this group (204) or whom Care Compare lists as members (69).

Sources for this page