Sonoma County Indian Health Project Inc

A Medicare group practice based in Santa Rosa, CA: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 2961491238), with 34 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2961491238The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Pharmacy, Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
CA, TX
Enrollments
5
Group size
31 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 2 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20100930081877 CA DME Supplier - Pharmacy 1568461267
O20100802000154 CA Part A Provider - Federally Qualified Health Center (FQHC) 1578729380
O20100604000817 CA Part A Provider - Federally Qualified Health Center (FQHC) 1265457980
O20130624000577 TX Part B Supplier - Pharmacy 1568461267
O20040511000955 CA Part B Supplier - Clinic/Group Practice 1265457980

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 34

Clinicians who reassign their Medicare benefits to this group (29) or whom Care Compare lists as members (31).

Sources for this page