NPIMap

Share Our Selves Corporation

A Medicare group practice based in Costa Mesa, CA: 9 NPIs enrolled under one PECOS associate control ID (PAC ID 4789854993), with 43 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4789854993The 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, Part B Supplier - Mass Immunization (Roster Biller Only), Part B Supplier - Pharmacy
Enrolled in
CA
Enrollments
10
Group size
7 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
16In 5 places

Enrollment records 10

Enrollment IDStateProvider typeNPI
O20130819000231 CA Part A Provider - Federally Qualified Health Center (FQHC) 1508073685
O20160426000512 CA Part A Provider - Federally Qualified Health Center (FQHC) 1295082774
O20160425002507 CA Part A Provider - Federally Qualified Health Center (FQHC) 1629494398
O20160418001502 CA Part A Provider - Federally Qualified Health Center (FQHC) 1649648817
O20160422001721 CA Part A Provider - Federally Qualified Health Center (FQHC) 1033514708
O20200728001441 CA Part A Provider - Federally Qualified Health Center (FQHC) 1184279952
O20210408000758 CA Part B Supplier - Pharmacy 1144717778
O20210511001207 CA Part B Supplier - Mass Immunization (Roster Biller Only) 1144717778
O20110825000722 CA Part B Supplier - Clinic/Group Practice 1508073685
O20241118000683 CA Part A Provider - Federally Qualified Health Center (FQHC) 1669258612

NPIs in this group 9

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 43

Clinicians who reassign their Medicare benefits to this group (42) or whom Care Compare lists as members (7).

Sources for this page