NPIMap

County of San Joaquin

A Medicare group practice based in Stockton, CA: 23 NPIs enrolled under one PECOS associate control ID (PAC ID 6002703436), with 724 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6002703436The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - End-Stage Renal Disease Facility (ESRD), Part A Provider - Federally Qualified Health Center (FQHC), Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
11
Group size
199 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
20In 6 places

Enrollment records 11

Enrollment IDStateProvider typeNPI
O20170814003025 CA Part A Provider - Federally Qualified Health Center (FQHC) 1417407636
O20140905002045 CA Part A Provider - Federally Qualified Health Center (FQHC) 1629319447
O20140905001173 CA Part A Provider - Federally Qualified Health Center (FQHC) 1538400353
O20140910001434 CA Part A Provider - Federally Qualified Health Center (FQHC) 1578803425
O20140910001119 CA Part A Provider - Federally Qualified Health Center (FQHC) 1710228531
O20140910000434 CA Part A Provider - Federally Qualified Health Center (FQHC) 1083955801
O20140905002364 CA Part A Provider - Federally Qualified Health Center (FQHC) 1891036612
O20040301001287 CA Part B Supplier - Clinic/Group Practice 1801830583
O20070201000319 CA Part A Provider - Hospital 1992870430
O20070112000520 CA Part A Provider - End-Stage Renal Disease Facility (ESRD) 1235213463
O20050915001095 CA Part B Supplier - Clinic/Group Practice 1215028931

NPIs in this group 23

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
53.98 of 100Reported as group, on the record of 109 clinicians in this group
Quality
11.8
Promoting interoperability
74
Improvement activities
0
Cost
82.7

Clinicians 724

Page 1 of 8

Clinicians who reassign their Medicare benefits to this group (724) or whom Care Compare lists as members (199).

Sources for this page