AdministrationOrganizationPractices
8
Total Practices
47
Total Providers
8,432
Total Patients
Geographic Spread
8
Locations
4
States
5.9
Avg Providers
California
3
Texas
2
New York
2
Florida
1
Credentialing Status
8
Active
2
Pending
1
Re-cred
  • NPI VerificationAll Verified
  • CAQH Profiles Current10 / 11
  • Payer Enrollments Active62
  • Avg Patient Wait Time6.4 days
Practice NameNPITax IDCity / StatePhoneProvidersPatientsStatusActions
Primary Care Partners123456789047-1234567Los Angeles, CA(310) 555-010191,842Active

Address & Contact

Full Address1245 Wilshire Blvd, Suite 300, Los Angeles, CA 90017
Billing AddressPO Box 44217, Los Angeles, CA 90010
Fax(310) 555-0102
Emailadmin@pcp-la.com

Payer Contracts

Active Payers
Blue Cross PPOAetna HMOMedicare AdvantageMedi-Cal
Contract EffectiveJan 1, 2024

Coverage Map

Coverage Map
ProvidersDr. Chen, Dr. Park, Dr. Torres, Dr. Williams, Dr. Nguyen (+4)
Valley Medical Group234567890147-2345678Fresno, CA(559) 555-020171,205Active

Address & Contact

Full Address8800 N Fresno St, Suite 200, Fresno, CA 93720
Billing AddressSame as practice
Fax(559) 555-0202

Payer Contracts

Blue Shield CAUnitedHealthMedi-Cal
Contract EffectiveJul 1, 2023

Coverage Map

Coverage Map
Eastside Family Health345678901247-3456789Houston, TX(713) 555-03016987Active

Address

Full Address3300 Eastside Blvd, Houston, TX 77002

Payer Contracts

CignaHumanaMedicaid TX

Coverage Map

Coverage Map
Northgate Internal Medicine456789012347-4567890Chicago, IL(312) 555-04015774Active

Address

Full Address445 N Wacker Dr, Chicago, IL 60606

Payer Contracts

BlueCross ILAetna

Coverage Map

Coverage Map
Riverside Community Clinic567890123447-5678901Miami, FL(305) 555-05014612Pending

Address

Full Address1200 Brickell Ave, Miami, FL 33131

Payer Contracts

Florida BlueSunshine Health

Coverage Map

Coverage Map
Westside Wellness Center678901234547-6789012Phoenix, AZ(602) 555-060161,043Active

Address

Full Address2090 W Camelback Rd, Phoenix, AZ 85015

Payer Contracts

Banner AetnaUnitedHealthMercy Care

Coverage Map

Coverage Map
Harbor View Medical789012345647-7890123Seattle, WA(206) 555-07015689Active

Address

Full Address505 1st Ave N, Seattle, WA 98109

Payer Contracts

PremeraRegence

Coverage Map

Coverage Map
Uptown Pediatric Associates890123456747-8901234Denver, CO(720) 555-080151,280Inactive

Address

Full Address1999 Broadway, Suite 400, Denver, CO 80202

Payer Contracts

BCBS ColoradoDenver Health

Coverage Map

Coverage Map
Practice Info
Status
Active
NPI
1234567890
Tax ID
47-1234567
Contact
Phone
(310) 555-0101
Fax
(310) 555-0102
Email
admin@practice.com
Providers (9)
Dr. ChenDr. ParkDr. TorresDr. WilliamsDr. NguyenDr. PatelDr. KimNP JohnsonPA Davis
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