NPIMap

Peach Tree Healthcare

A Medicare group practice based in Marysville, CA: 11 NPIs enrolled under one PECOS associate control ID (PAC ID 7416978440), with 63 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7416978440The 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
10
Group size
32 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
17In 6 places

Enrollment records 10

Enrollment IDStateProvider typeNPI
O20051219000014 CA Part A Provider - Federally Qualified Health Center (FQHC) 1316096894
O20061011000714 CA Part A Provider - Federally Qualified Health Center (FQHC) 1003863622
O20211206002479 CA Part A Provider - Federally Qualified Health Center (FQHC) 1922598226
O20221222001936 CA Part A Provider - Federally Qualified Health Center (FQHC) 1114643871
O20101104000566 CA Part B Supplier - Clinic/Group Practice 1003863622
O20230508001566 CA Part A Provider - Federally Qualified Health Center (FQHC) 1104526664
O20250331001099 CA Part A Provider - Federally Qualified Health Center (FQHC) 1245043413
O20231218002508 CA Part A Provider - Federally Qualified Health Center (FQHC) 1669152120
O20170926002111 CA Part A Provider - Federally Qualified Health Center (FQHC) 1841723327
O20161017000547 CA Part A Provider - Federally Qualified Health Center (FQHC) 1164886040

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 63

Clinicians who reassign their Medicare benefits to this group (61) or whom Care Compare lists as members (32).

Sources for this page