So-Cal Community Health Center

A Medicare group practice based in Arleta, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4880053149), with 3 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4880053149The 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
2
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20230705000448 CA Part B Supplier - Clinic/Group Practice 1255039715
O20250630003431 CA Part A Provider - Federally Qualified Health Center (FQHC) 1255039715

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 3

Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (2).

Sources for this page