NPIMap

County of Stanislaus

A Medicare group practice based in Modesto, CA: 29 NPIs enrolled under one PECOS associate control ID (PAC ID 0648183996), with 83 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0648183996The 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 - Mass Immunization (Roster Biller Only)
Enrolled in
CA
Enrollments
8
Group size
19 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
21In 3 places

Enrollment records 8

Enrollment IDStateProvider typeNPI
O20031111000939 CA Part B Supplier - Clinic/Group Practice 1831394998
O20031111000935 CA Part B Supplier - Clinic/Group Practice 1154524445
O20041108000570 CA Part B Supplier - Clinic/Group Practice 1023681301
O20071016000364 CA Part A Provider - Federally Qualified Health Center (FQHC) 1891991741
O20071016000365 CA Part A Provider - Federally Qualified Health Center (FQHC) 1093910275
O20071016000366 CA Part A Provider - Federally Qualified Health Center (FQHC) 1396941464
O20241008000657 CA Part B Supplier - Clinic/Group Practice 1164745840
O20090828000352 CA Part B Supplier - Mass Immunization (Roster Biller Only) 1629094891

NPIs in this group 29

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 83

Clinicians who reassign their Medicare benefits to this group (83) or whom Care Compare lists as members (19).

Sources for this page