NPIMap

Harbor Community Clinic Inc

A Medicare group practice based in San Pedro, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8022166826), with 23 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8022166826The 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
16 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20090505000470 CA Part B Supplier - Clinic/Group Practice 1467490425
O20160304001722 CA Part A Provider - Federally Qualified Health Center (FQHC) 1467490425
O20230505000998 CA Part A Provider - Federally Qualified Health Center (FQHC) 1831739614

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 23

Clinicians who reassign their Medicare benefits to this group (22) or whom Care Compare lists as members (16).

Sources for this page