NPIMap

Department of Veterans Affairs of the State of California

A Medicare group practice based in Los Angeles, CA: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 6507099520), with 21 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6507099520The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
4
Group size
18 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 3 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20140925002303 CA Part A Provider - Skilled Nursing Facility 1770903775
O20140925002244 CA Part A Provider - Skilled Nursing Facility 1396165353
O20150818004043 CA Part B Supplier - Clinic/Group Practice 1396165353
O20180911001856 CA Part A Provider - Skilled Nursing Facility 1821316076

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 21

Clinicians who reassign their Medicare benefits to this group (21) or whom Care Compare lists as members (18).

Sources for this page