NPIMap

University of Southern California

A Medicare group practice based in Los Angeles, CA: 10 NPIs enrolled under one PECOS associate control ID (PAC ID 5597658633), with 4 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5597658633The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Oral Surgery - Dentist, DME Supplier - Pharmacy, Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
CA
Enrollments
6
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
7In 4 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20050223000959 CA Part B Supplier - Independent Clinical Laboratory 1427181577
O20040203001147 CA Part B Supplier - Clinic/Group Practice 1821168113
O20100930069124 CA DME Supplier - Pharmacy 1679676639
O20111031000228 CA Part B Supplier - Mass Immunization (Roster Biller Only) 1679676639
O20180219002247 CA DME Supplier - Pharmacy 1790160273
O20140916000596 CA DME Supplier - Oral Surgery - Dentist 1821168113

NPIs in this group 10

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 4

Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (3).

Sources for this page