NPIMap

Indian Health Center of Santa Clara Valley

A Medicare group practice based in San Jose, CA: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 1153406665), with 96 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1153406665The 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
4
Group size
37 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
7In 1 place

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20120329000770 CA Part A Provider - Federally Qualified Health Center (FQHC) 1881997963
O20140804001912 CA Part A Provider - Federally Qualified Health Center (FQHC) 1275964488
O20120126000250 CA Part B Supplier - Clinic/Group Practice 1881997963
O20100121000319 CA Part A Provider - Federally Qualified Health Center (FQHC) 1164643862

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 96

Clinicians who reassign their Medicare benefits to this group (94) or whom Care Compare lists as members (37).

Sources for this page