Vitality Medical Group PC

A Medicare group practice based in Temecula, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5193956340), with 6 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5193956340The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - General Practice, Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
2
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20140401001083 CA Part B Supplier - Clinic/Group Practice 1487087227
O20171122002225 CA DME Supplier - Physician - General Practice 1306362629

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 6

Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (4).

Sources for this page