Contra Costa County

A Medicare group practice based in Concord, CA: 9 NPIs enrolled under one PECOS associate control ID (PAC ID 8628052974), with 484 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8628052974The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
4
Group size
74 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
33In 9 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20050707001058 CA Part B Supplier - Clinic/Group Practice 1376620336
O20080109000497 CA Part A Provider - Hospital 1386719086
O20120103000523 CA Part A Provider - Hospital 1326110479
O20151231001386 CA Part B Supplier - Ambulance Service Supplier 1316339609

NPIs in this group 9

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 484

Page 1 of 5

Clinicians who reassign their Medicare benefits to this group (482) or whom Care Compare lists as members (74).

Sources for this page