Northeast Community Clinic

A Medicare group practice based in Los Angeles, CA: 14 NPIs enrolled under one PECOS associate control ID (PAC ID 5193710275), with 71 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5193710275The 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
15
Group size
21 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
23In 6 places

Enrollment records 15

Enrollment IDStateProvider typeNPI
O20040417000619 CA Part B Supplier - Clinic/Group Practice 1700097540
O20090702000152 CA Part A Provider - Federally Qualified Health Center (FQHC) 1700097540
O20111117000738 CA Part A Provider - Federally Qualified Health Center (FQHC) 1891028171
O20250701004288 CA Part A Provider - Federally Qualified Health Center (FQHC) 1275226334
O20120731000847 CA Part A Provider - Federally Qualified Health Center (FQHC) 1881987576
O20140604002195 CA Part A Provider - Federally Qualified Health Center (FQHC) 1952641136
O20140305000896 CA Part A Provider - Federally Qualified Health Center (FQHC) 1124460274
O20180122001533 CA Part A Provider - Federally Qualified Health Center (FQHC) 1063927564
O20180124000219 CA Part A Provider - Federally Qualified Health Center (FQHC) 1891200325
O20180124000324 CA Part A Provider - Federally Qualified Health Center (FQHC) 1043725583
O20180124000480 CA Part A Provider - Federally Qualified Health Center (FQHC) 1366957508
O20200123001913 CA Part A Provider - Federally Qualified Health Center (FQHC) 1336790914
O20200123001783 CA Part A Provider - Federally Qualified Health Center (FQHC) 1801447958
O20200123001599 CA Part A Provider - Federally Qualified Health Center (FQHC) 1962050120
O20191203002229 CA Part A Provider - Federally Qualified Health Center (FQHC) 1851942288

NPIs in this group 14

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 71

Clinicians who reassign their Medicare benefits to this group (65) or whom Care Compare lists as members (21).

Sources for this page