NPIMap

State of California - Department of Developmental Services

A Medicare group practice based in Porterville, CA: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 4082788732), with 72 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4082788732The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
2
Group size
15 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 3 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20080730000586 CA Part A Provider - Hospital 1588615835
O20081114000496 CA Part B Supplier - Clinic/Group Practice 1154372498

NPIs in this group 8

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 72

Clinicians who reassign their Medicare benefits to this group (72) or whom Care Compare lists as members (15).

Sources for this page