Providence Saint Johns Medical Foundation

A Medicare group practice based in Santa Monica, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0840548624), with 520 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0840548624The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
1
Group size
282 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
68In 19 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20180810000904 CA Part B Supplier - Clinic/Group Practice 1770093734

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
90.42 of 100Reported as group, on the record of 284 clinicians in this group
Quality
96.07
Promoting interoperability
100
Improvement activities
40
Cost
71.98

Clinicians 520

Page 2 of 6

Clinicians who reassign their Medicare benefits to this group (520) or whom Care Compare lists as members (282).

Sources for this page