NPIMap

Good Samaritan Shelter

A Medicare group practice based in Santa Maria, CA: 10 NPIs enrolled under one PECOS associate control ID (PAC ID 6204295603), with 4 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6204295603The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
1
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 2 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20230703001507 CA Part B Supplier - Clinic/Group Practice 1689717258

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