Urology Center of Southern California Medical Group Inc

A Medicare group practice based in Farmers Branch, TX: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 6406745439), with 16 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6406745439The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
Enrolled in
CA, TX
Enrollments
2
Group size
7 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 5 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040315001245 CA Part B Supplier - Clinic/Group Practice 1750604948
O20251229000628 TX Part B Supplier - Independent Clinical Laboratory 1689601536

NPIs in this group 3

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 16

Clinicians who reassign their Medicare benefits to this group (16) or whom Care Compare lists as members (7).

Sources for this page