NPIMap

County of Sonoma

A Medicare group practice based in Santa Rosa, CA: 16 NPIs enrolled under one PECOS associate control ID (PAC ID 4688658651), with 65 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4688658651The 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
28 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
11In 5 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20040616001152 CA Part B Supplier - Clinic/Group Practice 1952637027

NPIs in this group 16

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 65

Clinicians who reassign their Medicare benefits to this group (65) or whom Care Compare lists as members (28).

Sources for this page