Bonita House, Inc.

A Medicare group practice based in Oakland, CA: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 1153510953), with 8 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1153510953The 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
2 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
6In 2 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20110110000671 CA Part B Supplier - Clinic/Group Practice 1073728770

NPIs in this group 5

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 8

Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (2).

Sources for this page