NPIMap

County of San Bernardino

A Medicare group practice based in San Bernardino, CA: 41 NPIs enrolled under one PECOS associate control ID (PAC ID 3870499130), with 233 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3870499130The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - End-Stage Renal Disease Facility (ESRD), Part A Provider - Federally Qualified Health Center (FQHC), Part A Provider - Hospital, Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
9
Group size
76 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
48In 21 places

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20031209000420 CA Part B Supplier - Clinic/Group Practice 1164467023
O20050427001193 CA Part B Supplier - Ambulance Service Supplier 1700947488
O20050523001160 CA Part A Provider - End-Stage Renal Disease Facility (ESRD) 1548330822
O20080211000663 CA Part A Provider - Hospital 1720158009
O20120402000186 CA Part A Provider - Federally Qualified Health Center (FQHC) 1285870469
O20120402000646 CA Part A Provider - Federally Qualified Health Center (FQHC) 1861662025
O20170901001656 CA Part A Provider - Federally Qualified Health Center (FQHC) 1588834451
O20170901002575 CA Part A Provider - Federally Qualified Health Center (FQHC) 1578535845
O20130729000110 CA Part A Provider - Hospital 1639249915

NPIs in this group 41

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 233

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Clinicians who reassign their Medicare benefits to this group (233) or whom Care Compare lists as members (76).

Sources for this page