California Medicaid lookup
One provider matched this Medicaid ID.
California Medicaid ID LTC80025F resolves to a single NPI record. Open the full profile for complete detail.
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MS
NPI · 1922123157 · Active
Mountain Shadows Support Group, INC
Nursing Facility/Intermediate Care Facility · Riverside, California
NPI
1922123157
Medicaid (CA)
LTC80025F
Taxonomy
313M00000X
State
California
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Source: NPPES public registry.
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.