NPIMap

M a C T Health Board Incorporated

A Medicare group practice based in Sonora, CA: 13 NPIs enrolled under one PECOS associate control ID (PAC ID 8325936974), with 57 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8325936974The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Optometrist, MDPP Supplier - in-Person MDPP Supplier, Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
CA, TX
Enrollments
17
Group size
21 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
28In 11 places

Enrollment records 17

Enrollment IDStateProvider typeNPI
O20170324000662 CA Part A Provider - Federally Qualified Health Center (FQHC) 1295727287
O20170324000920 CA Part A Provider - Federally Qualified Health Center (FQHC) 1467444364
O20170324000163 CA Part A Provider - Federally Qualified Health Center (FQHC) 1740272731
O20211215000645 CA Part A Provider - Federally Qualified Health Center (FQHC) 1366519431
O20220824000036 CA Part A Provider - Federally Qualified Health Center (FQHC) 1366519431
O20240129002202 CA Part A Provider - Federally Qualified Health Center (FQHC) 1366519431
O20241011001898 TX Part B Supplier - Clinic/Group Practice 1366519431
O20260422000211 CA Part A Provider - Federally Qualified Health Center (FQHC) 1366519431
O20260519003010 CA Part A Provider - Federally Qualified Health Center (FQHC) 1366519431
O20260511003310 CA Part A Provider - Federally Qualified Health Center (FQHC) 1366519431
O20260313002713 CA Part A Provider - Federally Qualified Health Center (FQHC) 1366519431
O20240104002019 CA DME Supplier - Physician - Optometrist 1033898226
O20250902003184 CA Part A Provider - Federally Qualified Health Center (FQHC) 1366519431
O20250818000554 CA Part A Provider - Federally Qualified Health Center (FQHC) 1366519431
O20251030000096 TX MDPP Supplier - in-Person MDPP Supplier 1366519431
O20250225001527 CA Part A Provider - Federally Qualified Health Center (FQHC) 1366519431
O20090212000720 TX Part A Provider - Federally Qualified Health Center (FQHC) 1346410255

NPIs in this group 13

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 57

Clinicians who reassign their Medicare benefits to this group (57) or whom Care Compare lists as members (21).

Sources for this page