NPIMap

Department of State Hospitals

A Medicare group practice based in Atascadero, CA: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 9638174238), with 751 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9638174238The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
5
Group size
275 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
9In 5 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20081031000305 CA Part B Supplier - Clinic/Group Practice 1124078704
O20090129000379 CA Part A Provider - Hospital 1043249204
O20090129000414 CA Part A Provider - Hospital 1326098161
O20090129000452 CA Part A Provider - Hospital 1265406565
O20090129000519 CA Part A Provider - Hospital 1174573802

NPIs in this group 5

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 751

Page 1 of 8

Clinicians who reassign their Medicare benefits to this group (751) or whom Care Compare lists as members (275).

Sources for this page