Mendocino Coast Clinics, Inc

A Medicare group practice based in Fort Bragg, CA: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 5991619157), with 35 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5991619157The 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
8
Group size
19 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
13In 1 place

Enrollment records 8

Enrollment IDStateProvider typeNPI
O20120329000397 CA Part A Provider - Federally Qualified Health Center (FQHC) 1326335464
O20031113000226 CA Part A Provider - Federally Qualified Health Center (FQHC) 1083783757
O20050512001033 CA Part B Supplier - Clinic/Group Practice 1609595404
O20080520000671 CA Part A Provider - Federally Qualified Health Center (FQHC) 1861670093
O20250324000272 CA Part A Provider - Federally Qualified Health Center (FQHC) 1285128595
O20230628003261 CA Part A Provider - Federally Qualified Health Center (FQHC) 1609595404
O20230628001271 CA Part A Provider - Federally Qualified Health Center (FQHC) 1689336984
O20190909003438 CA Part A Provider - Federally Qualified Health Center (FQHC) 1528736022

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 35

Clinicians who reassign their Medicare benefits to this group (34) or whom Care Compare lists as members (19).

Sources for this page