Stallant Medical Group Inc

A Medicare group practice based in Highland, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6406283845), with 26 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6406283845The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
3
Group size
17 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20200225002364 CA Part A Provider - Rural Health Clinic 1366082463
O20250212000720 CA Part A Provider - Rural Health Clinic 1508683111
O20251229000818 CA Part B Supplier - Clinic/Group Practice 1366082463

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 26

Clinicians who reassign their Medicare benefits to this group (22) or whom Care Compare lists as members (17).

Sources for this page