NPIMap

Masonic Homes of California

A Medicare group practice based in Union City, CA: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 4183625361), with 12 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4183625361The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
CA
Enrollments
4
Group size
7 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 2 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20070131000319 CA Part A Provider - Skilled Nursing Facility 1043426588
O20200709000957 CA Part B Supplier - Clinic/Group Practice 1114111317
O20150311000121 CA Part B Supplier - Mass Immunization (Roster Biller Only) 1639134950
O20241226000575 CA Part A Provider - Skilled Nursing Facility 1639726102

NPIs in this group 5

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 12

Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (7).

Sources for this page