NPIMap

El Dorado Community Service Center

A Medicare group practice based in Lawndale, CA: 12 NPIs enrolled under one PECOS associate control ID (PAC ID 4183672645), with 15 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4183672645The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Opioid Treatment Program (Otp)
Enrolled in
CA
Enrollments
2
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
15In 11 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20050111000696 CA Part B Supplier - Clinic/Group Practice 1700882156
O20200602002526 CA Part B Supplier - Opioid Treatment Program (Otp) 1700882156

NPIs in this group 12

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 15

Clinicians who reassign their Medicare benefits to this group (15) or whom Care Compare lists as members (2).

Sources for this page