County of Sacramento

A Medicare group practice based in Sacramento, CA: 26 NPIs enrolled under one PECOS associate control ID (PAC ID 0345231247), with 181 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0345231247The 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, Part B Supplier - Independent Clinical Laboratory
Enrolled in
CA
Enrollments
4
Group size
45 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
20In 3 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040519001679 CA Part B Supplier - Independent Clinical Laboratory 1992876692
O20050405000747 CA Part B Supplier - Clinic/Group Practice 1366513061
O20150908001599 CA Part A Provider - Federally Qualified Health Center (FQHC) 1366513061
O20110801000770 CA Part B Supplier - Clinic/Group Practice 1043386659

NPIs in this group 26

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 181

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (181) or whom Care Compare lists as members (45).

Sources for this page