NPIMap

Hi-Desert Memorial Health Care District

A Medicare group practice based in Yucca Valley, CA: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 1254240898), with 21 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1254240898The 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
11 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 2 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20140813002727 CA Part A Provider - Federally Qualified Health Center (FQHC) 1053733527
O20140813000750 CA Part A Provider - Federally Qualified Health Center (FQHC) 1841612082
O20170630001130 CA Part A Provider - Federally Qualified Health Center (FQHC) 1649708611
O20041201001069 CA Part B Supplier - Clinic/Group Practice 1841612082

NPIs in this group 3

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 21

Clinicians who reassign their Medicare benefits to this group (20) or whom Care Compare lists as members (11).

Sources for this page