Northeast Valley Health Corporation

A Medicare group practice based in Pacoima, CA: 19 NPIs enrolled under one PECOS associate control ID (PAC ID 3173517323), with 242 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3173517323The 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
15
Group size
77 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
30In 9 places

Enrollment records 15

Enrollment IDStateProvider typeNPI
O20191107001085 CA Part A Provider - Federally Qualified Health Center (FQHC) 1801399860
O20180713002173 CA Part A Provider - Federally Qualified Health Center (FQHC) 1881104313
O20220104002795 CA Part A Provider - Federally Qualified Health Center (FQHC) 1184625568
O20201221001438 CA Part A Provider - Federally Qualified Health Center (FQHC) 1053312587
O20201203001108 CA Part A Provider - Federally Qualified Health Center (FQHC) 1902467574
O20170508002553 CA Part A Provider - Federally Qualified Health Center (FQHC) 1154322642
O20230712001089 CA Part A Provider - Federally Qualified Health Center (FQHC) 1548960834
O20040412001067 CA Part B Supplier - Clinic/Group Practice 1629079009
O20070214000420 CA Part A Provider - Federally Qualified Health Center (FQHC) 1740281120
O20070214000419 CA Part A Provider - Federally Qualified Health Center (FQHC) 1235130600
O20070214000418 CA Part A Provider - Federally Qualified Health Center (FQHC) 1114928595
O20070214000417 CA Part A Provider - Federally Qualified Health Center (FQHC) 1629079009
O20080804000659 CA Part A Provider - Federally Qualified Health Center (FQHC) 1013199264
O20110311000668 CA Part A Provider - Federally Qualified Health Center (FQHC) 1558693655
O20090804000312 CA Part A Provider - Federally Qualified Health Center (FQHC) 1679332647

NPIs in this group 19

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 242

Page 1 of 3

Clinicians who reassign their Medicare benefits to this group (235) or whom Care Compare lists as members (77).

Sources for this page