East Valley Community Health Center, Inc.

A Medicare group practice based in Pomona, CA: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 9234041765), with 85 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9234041765The 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
7
Group size
50 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
10In 5 places

Enrollment records 7

Enrollment IDStateProvider typeNPI
O20031104000109 CA Part A Provider - Federally Qualified Health Center (FQHC) 1831243625
O20031218000209 CA Part A Provider - Federally Qualified Health Center (FQHC) 1649324443
O20050425000560 CA Part B Supplier - Clinic/Group Practice 1831243625
O20130123000181 CA Part A Provider - Federally Qualified Health Center (FQHC) 1386912202
O20150428000584 CA Part A Provider - Federally Qualified Health Center (FQHC) 1285046847
O20210212001268 CA Part A Provider - Federally Qualified Health Center (FQHC) 1649324443
O20210212001128 CA Part A Provider - Federally Qualified Health Center (FQHC) 1831243625

NPIs in this group 4

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 85

Clinicians who reassign their Medicare benefits to this group (66) or whom Care Compare lists as members (50).

Sources for this page