NPIMap

County of Santa Cruz

A Medicare group practice based in Santa Cruz, CA: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 7618872912), with 106 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7618872912The 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, Part B Supplier - Independent Clinical Laboratory
Enrolled in
CA
Enrollments
6
Group size
65 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
11In 2 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20031201000370 CA Part B Supplier - Clinic/Group Practice 1659315430
O20031201000402 CA Part B Supplier - Clinic/Group Practice 1770709149
O20031201000251 CA Part B Supplier - Clinic/Group Practice 1659315430
O20080502000340 CA Part B Supplier - Independent Clinical Laboratory 1740329515
O20140630001996 CA Part A Provider - Federally Qualified Health Center (FQHC) 1770709149
O20140630001795 CA Part A Provider - Federally Qualified Health Center (FQHC) 1578680310

NPIs in this group 6

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 106

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (106) or whom Care Compare lists as members (65).

Sources for this page