NPIMap

Port City Operating Company LLC

A Medicare group practice based in Stockton, CA: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 5597054452), with 13 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5597054452The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Home Health Agency, Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
4
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
19In 1 place

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20160613001368 CA Part A Provider - Home Health Agency 1306978945
O20160516001783 CA Part A Provider - Hospital 1053443473
O20160520001484 CA Part A Provider - Hospital 1528190931
O20170822003812 CA Part B Supplier - Clinic/Group Practice 1528190931

NPIs in this group 3

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 13

Clinicians who reassign their Medicare benefits to this group (13) or whom Care Compare lists as members (2).

Sources for this page