One provider matched this Medicaid ID.
California Medicaid ID CMCSUBK0S resolves to a single NPI record. Open the full profile for complete detail.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Other
- 1811024805CA· Issued by NPI - CORPORATION TYPE 2
- CMCSUBK0SCA· Issued by MCAL SUBMITTER NUMBER
- 1811024805CA· Issued by CORPORATION NPI
- 000022516CA· Issued by MEDICARE SUBMITTER NUMBER
- 1689638587CA· Issued by NPI - INDIVIDUAL PROFESSIONAL TYPE 1
- W15531CA· Issued by MEDICARE (PTAN) PROVIDER NUMBER
- A46673CA· Issued by STATE LICENSE
- GF413ZCA· Issued by MEDICARE TYPE 1 PTAN EFFECT 6/27/2012
- W15531CA· Issued by MEDICARE PTAN DEACTIVATED 6/26/2012
- 00A466730CA· Issued by BLUE SHIELD
- GE519ACA· Issued by MEDICARE TYPE 2 PTAN EFFECT 6/27/2012
Source: NPPES public registry.
Medicare enrollment
This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Practitioner
- I20100225000371Internal MedicineCA
Source: CMS PECOS public enrollment file.
ReferenceAbout state Medicaid identifiers
State Medicaid programmes assign each enrolled provider a state-scoped identifier used on Medicaid claims. The identifier is reported to the federal NPPES registry alongside the provider's NPI and is mirrored here from the public dissemination file. Each state administers its own Medicaid programme, so the same provider can hold different Medicaid numbers in different states.