St Joseph Health Northern California LLC

A Medicare group practice based in Santa Rosa, CA: 13 NPIs enrolled under one PECOS associate control ID (PAC ID 8921374562), with 36 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8921374562The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Pharmacy, Part A Provider - Critical Access Hospital, Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
10
Group size
10 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
60In 7 places

Enrollment records 10

Enrollment IDStateProvider typeNPI
O20180213001383 CA Part A Provider - Critical Access Hospital 1043292303
O20180219002015 CA Part A Provider - Hospital 1891900635
O20180215000687 CA Part A Provider - Hospital 1235218785
O20180320003140 CA Part A Provider - Hospital 1609947282
O20180402002216 CA Part A Provider - Hospital 1881814903
O20180402001679 CA Part A Provider - Hospital 1134152549
O20180322002714 CA Part A Provider - Rural Health Clinic 1194189654
O20180307001272 CA Part A Provider - Critical Access Hospital 1144415589
O20190515002040 CA DME Supplier - Pharmacy 1568422319
O20200706001160 CA Part B Supplier - Clinic/Group Practice 1235218785

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 36

Clinicians who reassign their Medicare benefits to this group (36) or whom Care Compare lists as members (10).

Sources for this page