NPIMap

South County Community Health Center Inc

A Medicare group practice based in East Palo Alto, CA: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 3577474634), with 28 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3577474634The 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
5
Group size
20 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 5 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20030919000000 CA Part A Provider - Federally Qualified Health Center (FQHC) 1821170044
O20050720000602 CA Part B Supplier - Clinic/Group Practice 1821170044
O20200406002965 CA Part A Provider - Federally Qualified Health Center (FQHC) 1730712613
O20200403001185 CA Part A Provider - Federally Qualified Health Center (FQHC) 1164055034
O20200402003137 CA Part A Provider - Federally Qualified Health Center (FQHC) 1861025736

NPIs in this group 4

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 28

Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (20).

Sources for this page