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A Medicare group practice based in Fresno, CA: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 1951673748), with 15 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1951673748The 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
9 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 3 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20170814001578 CA Part B Supplier - Clinic/Group Practice 1184164873
O20230103002702 CA Part A Provider - Federally Qualified Health Center (FQHC) 1740625235
O20230103002417 CA Part A Provider - Federally Qualified Health Center (FQHC) 1740625235
O20200106001220 CA Part A Provider - Federally Qualified Health Center (FQHC) 1740625235

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 15

Clinicians who reassign their Medicare benefits to this group (14) or whom Care Compare lists as members (9).

Sources for this page