NPIMap

Venice Family Clinic

A Medicare group practice based in Venice, CA: 18 NPIs enrolled under one PECOS associate control ID (PAC ID 2264339126), with 183 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2264339126The 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
18
Group size
101 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
21In 8 places

Enrollment records 18

Enrollment IDStateProvider typeNPI
O20150813009417 CA Part A Provider - Federally Qualified Health Center (FQHC) 1003842360
O20150813009805 CA Part A Provider - Federally Qualified Health Center (FQHC) 1124054564
O20150901001409 CA Part A Provider - Federally Qualified Health Center (FQHC) 1558397067
O20150818005636 CA Part A Provider - Federally Qualified Health Center (FQHC) 1669418513
O20170126002224 CA Part A Provider - Federally Qualified Health Center (FQHC) 1942743612
O20170116000514 CA Part A Provider - Federally Qualified Health Center (FQHC) 1053854836
O20170126000278 CA Part A Provider - Federally Qualified Health Center (FQHC) 1679016463
O20170406000654 CA Part A Provider - Federally Qualified Health Center (FQHC) 1790156917
O20250703002287 CA Part A Provider - Federally Qualified Health Center (FQHC) 1639949191
O20250623003316 CA Part A Provider - Federally Qualified Health Center (FQHC) 1326704107
O20250722002582 CA Part A Provider - Federally Qualified Health Center (FQHC) 1518739515
O20250204003028 CA Part A Provider - Federally Qualified Health Center (FQHC) 1417490236
O20250204002833 CA Part A Provider - Federally Qualified Health Center (FQHC) 1861935652
O20031217001082 CA Part B Supplier - Clinic/Group Practice 1669418513
O20211122001779 CA Part A Provider - Federally Qualified Health Center (FQHC) 1356914857
O20211122001076 CA Part A Provider - Federally Qualified Health Center (FQHC) 1558934059
O20211122000605 CA Part A Provider - Federally Qualified Health Center (FQHC) 1184297681
O20211130000765 CA Part A Provider - Federally Qualified Health Center (FQHC) 1457924953

NPIs in this group 18

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 183

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (149) or whom Care Compare lists as members (101).

Sources for this page