La Maestra Family Clinic, Inc.

A Medicare group practice based in El Cajon, CA: 11 NPIs enrolled under one PECOS associate control ID (PAC ID 7113968512), with 119 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7113968512The 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
11
Group size
13 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
18In 4 places

Enrollment records 11

Enrollment IDStateProvider typeNPI
O20050516000901 CA Part B Supplier - Clinic/Group Practice 1306929443
O20070206000747 CA Part A Provider - Federally Qualified Health Center (FQHC) 1609849074
O20070206000745 CA Part A Provider - Federally Qualified Health Center (FQHC) 1508949645
O20070206000744 CA Part A Provider - Federally Qualified Health Center (FQHC) 1306929443
O20120207000604 CA Part A Provider - Federally Qualified Health Center (FQHC) 1891011599
O20240404000658 CA Part A Provider - Federally Qualified Health Center (FQHC) 1164167656
O20240223003932 CA Part A Provider - Federally Qualified Health Center (FQHC) 1740881085
O20250226000414 CA Part A Provider - Federally Qualified Health Center (FQHC) 1265831960
O20250927000045 CA Part A Provider - Federally Qualified Health Center (FQHC) 1780376012
O20251111002808 CA Part A Provider - Federally Qualified Health Center (FQHC) 1568209773
O20161010000296 CA Part A Provider - Federally Qualified Health Center (FQHC) 1134590086

NPIs in this group 11

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 119

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Clinicians who reassign their Medicare benefits to this group (118) or whom Care Compare lists as members (13).

Sources for this page