The Los Angeles Free Clinic

A Medicare group practice based in Los Angeles, CA: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 5395886311), with 64 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5395886311The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Pharmacy, 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
9
Group size
26 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
13In 1 place

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20100112000638 CA Part B Supplier - Clinic/Group Practice 1194893248
O20200901002513 CA Part A Provider - Federally Qualified Health Center (FQHC) 1619471802
O20200901002180 CA Part A Provider - Federally Qualified Health Center (FQHC) 1932755907
O20120919000254 CA Part A Provider - Federally Qualified Health Center (FQHC) 1336281179
O20120802000275 CA Part A Provider - Federally Qualified Health Center (FQHC) 1194893248
O20260316000821 CA Part B Supplier - Mass Immunization (Roster Biller Only) 1558740852
O20251222000810 CA DME Supplier - Pharmacy 1558740852
O20251222003604 CA DME Supplier - Pharmacy 1669998845
O20240509002474 CA Part B Supplier - Pharmacy 1669998845

NPIs in this group 7

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 64

Clinicians who reassign their Medicare benefits to this group (64) or whom Care Compare lists as members (26).

Sources for this page