Taxonomy Code 302F00000X(302f00000x)
Exclusive Provider Organization. Providers: 8
Exclusive Provider Organization Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
Cal Care Ipa |
Organization |
2360 Huntington Dr Ste 201 San Marino, CA |
|
|
Clinica Medica San Miguel Ipa, A Medical Group, Inc. |
Organization |
2360 Huntington Dr Ste 201 San Marino, CA |
|
|
Avante Best Care Ipa |
Organization |
2360 Huntington Dr Ste 201 San Marino, CA |
|
|
Affiliated Physicians Medical Group |
Organization |
2360 Huntington Dr Ste 201 San Marino, CA |
|
|
Apcn-aco, A Medical Professional Corp |
Organization |
2360 Huntington Drive #201 C/o Mso, Inc. Of Southern California San Marino, CA |
|
|
Doctors Choice Medical Group |
Organization |
2295-a Huntington Drive San Marino, CA |
|
|
Imperial Health Holdings, A Professional Medical Corporation |
Organization |
2295 Huntington Dr # D San Marino, CA |
|
|
Mesa Advantage Medical Group |
Organization |
2295 Huntington Dr # D San Marino, CA |
How to obtain, renew, or terminate an NPI
Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...
| Taxonomy Code | 302F00000X |
| Display Name | Exclusive Provider Organization |
| Taxonomy Group | Managed Care Organizations |
| Taxonomy Classification | Exclusive Provider Organization |
| Definition | (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Effective Date | September 30, 2009 |