Southern California Emergency Medicine

A Medicare group practice based in Riverside, CA: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 8628128196), with 89 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8628128196The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
1
Group size
45 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
9In 8 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20090604000499 CA Part B Supplier - Clinic/Group Practice 1639314255

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 89

Clinicians who reassign their Medicare benefits to this group (89) or whom Care Compare lists as members (45).

Sources for this page