NPIMap

Organization Active NPI

Clinicas de Salud del Pueblo Inc.

Doing business as Hemet medical and Dental Center

  • Federally Qualified Health Center (FQHC)
  • Hemet, CA
National Provider Identifier
1033593108
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CLINICAS DE SALUD DEL PUEBLO INC.
Doing business as
Hemet medical and Dental Center
Innercare
Innercare- Hemet
Practice address
1023 E Florida Ave
Hemet, CA 92543
Phone
(951) 599-8403
Fax
(951) 766-0930
NPI assigned
Jul 17, 2015
Last updated
Feb 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Authorized official

Name
Mrs. Yvonne Bell, MBA
Title
Ceo
Phone
(760) 344-9951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

1023 E Florida Ave
Hemet, CA 92543

Mailing address

852 E Danenberg Dr
El Centro, CA 92243
Phone (760) 344-9951

Other practice location 1

1166 K St
Brawley, CA 92227-2737
Phone (760) 344-9951

Other names 3

  • Hemet medical and Dental Center Doing business as
  • Innercare Doing business as
  • Innercare- Hemet Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071201000158 CA Part B Supplier - Clinic/Group Practice 5496657082 Receives reassigned benefits from 148 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Winterhaven, CA; Salton City, CA; Niland, CA; Mecca, CA; Indio, CA; El Centro, CA; Hemet, CA; Blythe, CA…
O20160527001198 CA Part A Provider - Federally Qualified Health Center (FQHC) 5496657082 Practice locations: Hemet, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033593108. Details of each certification follow.

Federally qualified health center certification: CCN 751872

Legal name
CLINICAS DE SALUD DEL PUEBLO INC
Doing business as
INNERCARE HEMET
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 25, 2016
Last certification
Apr 25, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 20, 1970 in CA
Enrollment address
1023 E Florida Ave
Hemet, CA 92543-4510

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2107976Hemet Medical and Dental Center1023 E Florida Ave, Hemet, CA 92543Certificate of waiverJan 25, 2028

National Provider Directory

National Provider Directory
Tax ID family
Clinica de Salubridad de17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

1166 K St
Brawley, CA 92227
Phone (760) 344-3583

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Shirley Chronister Individual Corporate DirectorBoard Member Jan 1, 2015
Denys Arcuri Individual Corporate Director Jun 23, 2022
Leticia de Lara Individual Corporate DirectorBoard Member Jan 1, 2017
Georgina Montano Individual Corporate DirectorBoard Member Jan 1, 2016
Raymond Leon Individual Corporate DirectorBoard Member Jan 1, 2015
Elizabeth Moreno Individual Corporate DirectorBoard Member Jan 1, 2016
Yvonne W Bell Individual Corporate OfficerCeo/President Feb 12, 2016
W-2 Managing EmployeeCeo Sep 1, 2022
Isidoro Romero Individual Corporate DirectorBoard Member Jan 1, 2016
Maria D Lopez Individual Corporate DirectorBoard Member Jan 1, 2015
Nidia Carranza Individual Corporate DirectorBoard Member Jan 1, 2014

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1033593108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 E DANENBERG DR",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "92243",
            "telephone_number": "760-344-9951",
            "fax_number": "760-344-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 E FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "92543",
            "telephone_number": "951-599-8403",
            "fax_number": "951-766-0930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1166 K St",
            "address_purpose": "LOCATION",
            "city": "Brawley",
            "state": "CA",
            "postal_code": "922272737",
            "country_code": "US",
            "telephone_number": "760-344-9951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLINICAS DE SALUD DEL PUEBLO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-344-9951",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hemet medical and Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Innercare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Innercare- Hemet",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.