NPIMap

County of San Luis Obispo

A Medicare group practice based in San Luis Obispo, CA: 13 NPIs enrolled under one PECOS associate control ID (PAC ID 9032020094), with 32 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9032020094The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
Enrolled in
CA
Enrollments
2
Group size
10 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
13In 5 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20050316000831 CA Part B Supplier - Independent Clinical Laboratory 1437103983
O20050407000794 CA Part B Supplier - Clinic/Group Practice 1134287634

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 32

Clinicians who reassign their Medicare benefits to this group (32) or whom Care Compare lists as members (10).

Sources for this page