Imperial County Physicians Medical Group Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

IMPERIAL COUNTY PHYSICIANS MEDICAL GROUP CLINIC

Practice address

1503 N Imperial Ave Ste 105a
El Centro, CA 92243-6302

Phone

(760) 290-4297

NPI assigned

Oct 23, 2020

Organization subpart

No

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

Authorized official

Name

Majid Mani, MD

Title

Ceo

Phone

(760) 352-7755

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

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

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mayra Kytzya Casillas, NP

  • Family Nurse Practitioner
  • El Centro, CA
  • NPI 1851174494
  Medicare reassignment NPD
• Mehboob Ghulam, DO

  • Internal Medicine Physician
  • Brawley, CA
  • NPI 1215248273
  Medicare reassignment NPD
• Clara Padron-Spence, M.D.

  • Family Medicine Physician
  • Calexico, CA
  • NPI 1689693962
  Medicare reassignment NPD
• Mahomed Essop Suliman, MD

  • Gastroenterology Physician
  • El Centro, CA
  • NPI 1912994989
  Medicare reassignment NPD

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1013516624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 N IMPERIAL AVE STE 105A",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922436302",
            "telephone_number": "760-290-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 N IMPERIAL AVE STE 105A",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922436302",
            "telephone_number": "760-290-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL COUNTY PHYSICIANS MEDICAL GROUP CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-23",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "MANI",
        "authorized_official_first_name": "MAJID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-352-7755",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imperial County Behavioral Health Services Alcohol and Drug
• Imperial County Behavioral Health Services-Alcohol and Drug Programs
• Imperial County Office of Education
• Imperial County Pediatric Associates, Inc.
• Imperial County Physicians Medical Group
• Imperial County Public Health Department
• Imperial County Public Health Department
• Imperial Pathology Inc., a California Professional Corporation
• Imperial Valley Drug & Rehab Clinic
• Imperial Valley Emergency Physicians Medical Group

• Clinic/Center in El Centro, CA
• Providers in El Centro, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.