NPIMap

County of San Diego

A Medicare group practice based in San Diego, CA: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 8123014057), with 107 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8123014057The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Skilled Nursing Facility, Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
3
Group size
17 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
14In 7 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20040423001418 CA Part B Supplier - Clinic/Group Practice 1225255375
O20100611000619 CA Part A Provider - Skilled Nursing Facility 1962556290
O20221108001304 CA Part B Supplier - Ambulance Service Supplier 1316685159

NPIs in this group 8

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 107

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (107) or whom Care Compare lists as members (17).

Sources for this page