Individual provider Active NPI

Devon K Williams, NP

  • Family Nurse Practitioner
  • El Centro, CA
National Provider Identifier
1003670191
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
950290003 Issued in CA
Practice address
1550 N Imperial Ave Ste 1
El Centro, CA 92243-6304
Phone
(760) 353-4710
NPI assigned
Feb 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 950290003 CA Primary

Addresses

Primary practice location

1550 N Imperial Ave Ste 1
El Centro, CA 92243-6304

Mailing address

525 Mesquite St
Imperial, CA 92251-8960
Phone (760) 562-6439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250929002177 CA Practitioner - Nurse Practitioner 5890291918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1550 N Imperial Ave
Suite 1
El Centro, CA 92243-6304

516 W Aten Rd
Suite 2
Imperial, CA 92251-9805

Hospital & facility affiliations

  • Pioneers Memorial Healthcare District Hospital, Brawley, CA, CCN 050342
  • El Centro Regional Medical Center Hospital, El Centro, CA, CCN 050045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
950290003CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Valley Family Care Medical Group Apc CurrentSince Jul 4, 2025 Accepting new patients
Sound LTC of California II PC CurrentSince Aug 30, 2025 Accepting new patients
Imperial Valley Family Care Medical Group, Apc CurrentSince Jul 4, 2025 Accepting new patients

Locations

125 S 5th St
Brawley, CA 92227
Phone (760) 344-8100

1550 N Imperial Ave
Ste 1
El Centro, CA 92243
Phone (760) 352-1731

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

516 W Aten Rd
Ste 2
Imperial, CA 92251
Phone (760) 355-7730

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBHJAA/Endpoint/CBHJAA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1003670191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 MESQUITE ST",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "922518960",
            "telephone_number": "760-562-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N IMPERIAL AVE STE 1",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922436304",
            "telephone_number": "760-353-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DEVON",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "950290003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

Verify at the official NPI Registry.