Bartz-Altadonna Community Health Center

A Medicare group practice based in Lancaster, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6204090178), with 70 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6204090178The 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, Part B Supplier - Pharmacy
Enrolled in
CA
Enrollments
5
Group size
20 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 4 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20120808000683 CA Part A Provider - Federally Qualified Health Center (FQHC) 1811279763
O20120702000123 CA Part B Supplier - Clinic/Group Practice 1811279763
O20250716002426 CA Part B Supplier - Pharmacy 1700672011
O20210714001048 CA Part A Provider - Federally Qualified Health Center (FQHC) 1811279763
O20200924002497 CA Part A Provider - Federally Qualified Health Center (FQHC) 1811279763

NPIs in this group 2

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 70

Clinicians who reassign their Medicare benefits to this group (66) or whom Care Compare lists as members (20).

Sources for this page