Zacoalco Medical Group Inc

A Medicare group practice based in Los Angeles, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4183667629), with 6 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4183667629The 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
5 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
2In 2 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20050606001247 CA Part B Supplier - Clinic/Group Practice 1679626170

NPIs in this group 2

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 6

Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (5).

Sources for this page