Gardner Family Health Network Inc

A Medicare group practice based in San Jose, CA: 9 NPIs enrolled under one PECOS associate control ID (PAC ID 5890859375), with 37 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5890859375The 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
7
Group size
24 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 3 places

Enrollment records 7

Enrollment IDStateProvider typeNPI
O20090128000177 CA Part A Provider - Federally Qualified Health Center (FQHC) 1144358748
O20111229000245 CA Part A Provider - Federally Qualified Health Center (FQHC) 1407985534
O20191217001965 CA Part B Supplier - Clinic/Group Practice 1699841528
O20140213001174 CA Part A Provider - Federally Qualified Health Center (FQHC) 1164552931
O20130517000268 CA Part A Provider - Federally Qualified Health Center (FQHC) 1700915097
O20130517000298 CA Part A Provider - Federally Qualified Health Center (FQHC) 1558491043
O20130524000469 CA Part A Provider - Federally Qualified Health Center (FQHC) 1699041566

NPIs in this group 9

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 37

Clinicians who reassign their Medicare benefits to this group (37) or whom Care Compare lists as members (24).

Sources for this page