NPIMap

Redwood Coast Medical Services, Inc.

A Medicare group practice based in Gualala, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6901941905), with 21 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6901941905The 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
5 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
4In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20100302000446 CA Part B Supplier - Clinic/Group Practice 1962530725
O20110118000397 CA Part A Provider - Federally Qualified Health Center (FQHC) 1962530725
O20110215000755 CA Part A Provider - Federally Qualified Health Center (FQHC) 1275778847

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 21

Clinicians who reassign their Medicare benefits to this group (21) or whom Care Compare lists as members (5).

Sources for this page