Mission City Community Network, Inc.

A Medicare group practice based in North Hills, CA: 21 NPIs enrolled under one PECOS associate control ID (PAC ID 1658264684), with 153 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1658264684The 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
19
Group size
13 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
24In 13 places

Enrollment records 19

Enrollment IDStateProvider typeNPI
O20040204000544 CA Part B Supplier - Clinic/Group Practice 1710102009
O20091226000050 CA Part A Provider - Federally Qualified Health Center (FQHC) 1760409791
O20091201000380 CA Part A Provider - Federally Qualified Health Center (FQHC) 1376770750
O20101004000914 CA Part A Provider - Federally Qualified Health Center (FQHC) 1598996506
O20221123000721 CA Part A Provider - Federally Qualified Health Center (FQHC) 1407500374
O20181103000176 CA Part A Provider - Federally Qualified Health Center (FQHC) 1790133379
O20190102001534 CA Part A Provider - Federally Qualified Health Center (FQHC) 1518402502
O20230524003295 CA Part A Provider - Federally Qualified Health Center (FQHC) 1366010209
O20230802000993 CA Part A Provider - Federally Qualified Health Center (FQHC) 1932770716
O20240105000904 CA Part A Provider - Federally Qualified Health Center (FQHC) 1639878143
O20150527002325 CA Part A Provider - Federally Qualified Health Center (FQHC) 1609151273
O20120918000883 CA Part A Provider - Federally Qualified Health Center (FQHC) 1063795250
O20120810000215 CA Part A Provider - Federally Qualified Health Center (FQHC) 1346525912
O20120718000359 CA Part A Provider - Federally Qualified Health Center (FQHC) 1043593304
O20170601000044 CA Part A Provider - Federally Qualified Health Center (FQHC) 1174971741
O20170322002328 CA Part A Provider - Federally Qualified Health Center (FQHC) 1710370747
O20170412001788 CA Part A Provider - Federally Qualified Health Center (FQHC) 1215300603
O20160428001030 CA Part A Provider - Federally Qualified Health Center (FQHC) 1942694096
O20131017001374 CA Part A Provider - Federally Qualified Health Center (FQHC) 1265708994

NPIs in this group 21

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 153

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (152) or whom Care Compare lists as members (13).

Sources for this page