NPIMap

Petaluma Health Center Inc

A Medicare group practice based in Petaluma, CA: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 9133180375), with 103 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9133180375The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
9
Group size
76 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
10In 4 places

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20070410000481 CA Part A Provider - Federally Qualified Health Center (FQHC) 1588656268
O20050315000415 CA Part B Supplier - Clinic/Group Practice 1588656268
O20160330002260 CA Part A Provider - Federally Qualified Health Center (FQHC) 1669870739
O20200921001805 CA Part A Provider - Federally Qualified Health Center (FQHC) 1760584049
O20220920002073 CA Part A Provider - Federally Qualified Health Center (FQHC) 1275283343
O20200827001659 CA Part A Provider - Federally Qualified Health Center (FQHC) 1053420844
O20250110000817 CA Part A Provider - Federally Qualified Health Center (FQHC) 1437918406
O20241218003552 CA Part A Provider - Federally Qualified Health Center (FQHC) 1801655873
O20241217003450 CA Part A Provider - Federally Qualified Health Center (FQHC) 1588422604

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 103

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Clinicians who reassign their Medicare benefits to this group (70) or whom Care Compare lists as members (76).

Sources for this page