NPIMap

Southland Renal Medical Group Inc

A Medicare group practice based in Los Alamitos, CA: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 3476580838), with 9 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3476580838The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
1
Group size
8 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 3 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20050718001019 CA Part B Supplier - Clinic/Group Practice 1730110495

NPIs in this group 6

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 9

Clinicians who reassign their Medicare benefits to this group (9) or whom Care Compare lists as members (8).

Sources for this page