NPIMap

Primary Care Sports Medicine a Medical Corporation

A Medicare group practice based in Tarzana, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2365488723), with 12 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2365488723The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Orthopedic/Orthopedic Surgery, Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
3
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20050707000427 CA Part B Supplier - Clinic/Group Practice 1134274418
O20230919001792 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1841977253
O20121005000654 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1134274418

NPIs in this group 2

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 12

Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (6).

Sources for this page