Open Door Community Health Centers

A Medicare group practice based in Arcata, CA: 13 NPIs enrolled under one PECOS associate control ID (PAC ID 9436067485), with 227 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9436067485The 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
12
Group size
113 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
24In 7 places

Enrollment records 12

Enrollment IDStateProvider typeNPI
O20030102000015 CA Part A Provider - Federally Qualified Health Center (FQHC) 1598858169
O20040105000174 CA Part A Provider - Federally Qualified Health Center (FQHC) 1497840656
O20040105000169 CA Part A Provider - Federally Qualified Health Center (FQHC) 1669569109
O20040105000162 CA Part A Provider - Federally Qualified Health Center (FQHC) 1255435533
O20040105000184 CA Part A Provider - Federally Qualified Health Center (FQHC) 1689778813
O20060724000354 CA Part A Provider - Federally Qualified Health Center (FQHC) 1336173020
O20040414000890 CA Part B Supplier - Clinic/Group Practice 1497840656
O20110623000541 CA Part A Provider - Federally Qualified Health Center (FQHC) 1922318047
O20090108000083 CA Part A Provider - Federally Qualified Health Center (FQHC) 1730330739
O20140926000507 CA Part A Provider - Federally Qualified Health Center (FQHC) 1598178915
O20151221002250 CA Part A Provider - Federally Qualified Health Center (FQHC) 1306252051
O20180725003530 CA Part A Provider - Federally Qualified Health Center (FQHC) 1417474966

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 227

Page 1 of 3

Clinicians who reassign their Medicare benefits to this group (211) or whom Care Compare lists as members (113).

Sources for this page