NPIMap

Health Service Alliance

A Medicare group practice based in Rancho Cucamonga, CA: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 4587642467), with 20 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4587642467The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
7
Group size
14 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
14In 7 places

Enrollment records 7

Enrollment IDStateProvider typeNPI
O20040708000369 CA Part B Supplier - Clinic/Group Practice 1801307368
O20230622000591 CA Part A Provider - Federally Qualified Health Center (FQHC) 1861181216
O20191106003055 CA Part A Provider - Federally Qualified Health Center (FQHC) 1801307368
O20191112002933 CA Part A Provider - Federally Qualified Health Center (FQHC) 1801307368
O20210622003022 CA Part A Provider - Federally Qualified Health Center (FQHC) 1801307368
O20210302002849 CA Part A Provider - Federally Qualified Health Center (FQHC) 1720675986
O20221004003729 CA Part A Provider - Federally Qualified Health Center (FQHC) 1801307368

NPIs in this group 7

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 20

Clinicians who reassign their Medicare benefits to this group (20) or whom Care Compare lists as members (14).

Sources for this page