NPIMap

Imperial Beach Community Clinic

A Medicare group practice based in Imperial Beach, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6709867880), with 37 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6709867880The 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
Enrolled in
CA
Enrollments
3
Group size
20 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20040525001394 CA Part B Supplier - Clinic/Group Practice 1790718351
O20110602000200 CA Part A Provider - Federally Qualified Health Center (FQHC) 1215246996
O20100621000058 CA Part A Provider - Federally Qualified Health Center (FQHC) 1790718351

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 37

Clinicians who reassign their Medicare benefits to this group (27) or whom Care Compare lists as members (20).

Sources for this page