Imperial Valley Family Care Medical Group a P C

A Medicare group practice based in El Centro, CA: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 0446243083), with 87 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0446243083The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory, Part B Supplier - Intensive Cardiac Rehabilitation
Enrolled in
CA
Enrollments
4
Group size
23 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
22In 6 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040407001358 CA Part B Supplier - Clinic/Group Practice 1275581894
O20041124000542 CA Part B Supplier - Independent Clinical Laboratory 1275581894
O20140221000213 CA Part A Provider - Rural Health Clinic 1508295502
O20241127004223 CA Part B Supplier - Intensive Cardiac Rehabilitation 1750112587

NPIs in this group 4

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 87

Clinicians who reassign their Medicare benefits to this group (87) or whom Care Compare lists as members (23).

Sources for this page