NPIMap

Gracelight Community Health

A Medicare group practice based in Los Angeles, CA: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 3072619618), with 74 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3072619618The 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, Part B Supplier - Pharmacy
Enrolled in
CA
Enrollments
7
Group size
24 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
12In 1 place

Enrollment records 7

Enrollment IDStateProvider typeNPI
O20200123000485 CA Part A Provider - Federally Qualified Health Center (FQHC) 1740835743
O20201223000764 CA Part B Supplier - Pharmacy 1992106082
O20170425001131 CA Part B Supplier - Clinic/Group Practice 1104075282
O20100811000484 CA Part A Provider - Federally Qualified Health Center (FQHC) 1639241888
O20100812000606 CA Part A Provider - Federally Qualified Health Center (FQHC) 1801967062
O20100812001032 CA Part A Provider - Federally Qualified Health Center (FQHC) 1013083666
O20100202000636 CA Part A Provider - Federally Qualified Health Center (FQHC) 1104075282

NPIs in this group 7

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 74

Clinicians who reassign their Medicare benefits to this group (73) or whom Care Compare lists as members (24).

Sources for this page