One provider matched this Medicaid ID.
California Medicaid ID GR0099343 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
- 20155344 93401 A001CA· Issued by TRICARE GRP PIN - SLO
- ZZZ65444ZCA· Issued by BLUE SHIELD TMPLTN GP PIN
- ZZZ09808ZCA· Issued by BLUE SHIELD SLO GRP PIN
- ZZZ09809ZCA· Issued by BLUE SHIELD AG GRP PIN
- 201555344 93420 A001CA· Issued by TRICARE GRP PIN - AG
- G84926CA· Issued by MEDICAL LICENSE NUMBER
- P00213688· Issued by INDIV RR MEDICARE PIN
- ZZZ09810ZCA· Issued by BLUE SHIELD SM GRP PIN
- 1117CA· Issued by CMSP GRP PIN
- 201555344 93454 A001CA· Issued by TRICARE GROUP PIN - SM
- DC7249· Issued by RR MEDICARE GRP PIN
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
- I20050125000642OphthalmologyCA
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.