San Bernardino Medical Orthopaedic Group Inc

A Medicare group practice based in Riverside, CA: 10 NPIs enrolled under one PECOS associate control ID (PAC ID 9335045228), with 164 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9335045228The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - General Practice, DME Supplier - Physician - Orthopedic/Orthopedic Surgery, Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
11
Group size
92 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
21In 11 places

Enrollment records 11

Enrollment IDStateProvider typeNPI
O20040303001330 CA Part B Supplier - Clinic/Group Practice 1336187475
O20100930031824 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1336187475
O20211108000597 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1376142067
O20211102000774 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1891367678
O20210112001984 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1710586409
O20201211001230 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1811322068
O20201209003087 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1275132961
O20211101000683 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1326647025
O20130913000428 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1124453469
O20131023001368 CA DME Supplier - Physician - General Practice 1558796706
O20131126000310 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1801221056

NPIs in this group 10

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 164

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Clinicians who reassign their Medicare benefits to this group (163) or whom Care Compare lists as members (92).

Sources for this page