Active NPI
Pioneers Memorial Healthcare District
- General Acute Care Hospital
- Brawley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- PIONEERS MEMORIAL HEALTHCARE DISTRICT
- Practice address
- 207 W Legion Rd
Brawley, CA 92227-7780 - Phone
- (760) 351-3590
- Fax
- (760) 351-3312
- NPI assigned
- Jun 21, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Carly Loper
- Title
- Chief Financial Officer
- Phone
- (760) 351-3594
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | CA | Primary | |
| Skilled Nursing Facility | 314000000X |
Addresses
Primary practice location
207 W Legion Rd
Brawley, CA 92227-7780
Mailing address
207 W Legion Rd
Brawley, CA 92227-7780
Phone (760) 351-3590
Other practice location 1
320 Cattle Call Dr
Brawley, CA 92227-3108
Phone (760) 344-5431
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1509782 | Medicaid | NY | |
| ZZT40342F | Medicaid | CA | |
| ZZZC1301Z | Other | BLUE SHIELD | |
| 021709 | Medicaid | AZ | |
| A6816 | Medicaid | NM | |
| 131561105 | Medicaid | AK | |
| 4105270 | Medicaid | MT | |
| 3161908 | Medicaid | WA | |
| 039487 | Medicaid | OR | |
| 050342B000000 | Other | CA | CMS 1011 PROGRAM |
| 050342 | Other | BLUE CROSS | |
| 1716235 | Medicaid | TX | |
| 201112200 | Other | US DEPT OF LABOR | |
| CP3327 | Other | CA | MEDICARE RAILROAD |
| ZZT30342F | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051014000744 | CA | Part B Supplier - Clinic/Group Practice | 4082527593 |
Receives reassigned benefits from 3 practitioners 1 other NPI on this enrollment Practice locations: Brawley, CA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Comprehensive Women's Health at Pioneers
- Obstetrics & Gynecology Physician
- Brawley, CA
- NPI 1477163046
O20051014000744
National Provider Directory
National Provider DirectoryLocations
751 W Legion Rd
Brawley, CA 92227
Phone (760) 351-0025
205 W Legion Rd
Ste 1
Brawley, CA 92227
Phone 6024419520800
731 Cesar Chavez Blvd
Calexico, CA 92231
Phone (760) 357-4850
1121 S 4th St
Ste D
El Centro, CA 92243
Phone (760) 336-3000
Dept LA 23624
Pasadena, CA 91185
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/11d6e9da-d3d5-4352-8d64-f06e0d461c57/
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Brawley, CA
- NPI 1861480261
-
- Advanced Practice Midwife
- Brawley, CA
- NPI 1548639313
-
- Advanced Practice Midwife
- Brawley, CA
- NPI 1992175004
-
- Cardiovascular Disease Physician
- El Centro, CA
- NPI 1982648606
-
- Internal Medicine Physician
- Brawley, CA
- NPI 1326075292
-
- Family Medicine Physician
- Brawley, CA
- NPI 1619935137
-
- Speech-Language Pathologist
- Brawley, CA
- NPI 1598635179
-
- Physical Therapist
- Brawley, CA
- NPI 1326482282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754265600000",
"number": "1073519443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 W LEGION RD",
"city": "BRAWLEY",
"state": "CA",
"postal_code": "922277780",
"telephone_number": "760-351-3590",
"fax_number": "760-351-3312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 W LEGION RD",
"city": "BRAWLEY",
"state": "CA",
"postal_code": "922277780",
"telephone_number": "760-351-3590",
"fax_number": "760-351-3312"
}
],
"practiceLocations": [
{
"address_1": "320 Cattle Call Dr",
"address_purpose": "LOCATION",
"city": "Brawley",
"state": "CA",
"postal_code": "922273108",
"country_code": "US",
"telephone_number": "760-344-5431",
"fax_number": "760-344-8240",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PIONEERS MEMORIAL HEALTHCARE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-21",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A",
"authorized_official_last_name": "LOPER",
"authorized_official_first_name": "CARLY",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "760-351-3594",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1509782",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZT40342F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZC1301Z",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021709",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A6816",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131561105",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4105270",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3161908",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "039487",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMS 1011 PROGRAM",
"identifier": "050342B000000",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "050342",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1716235",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "201112200",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "CP3327",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZT30342F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brawley, CA
- Peace of Selves Holistic Counseling and Therapeutic Services LLC
- Violeta Pedernal
- Evelyn Perez
- Matthew Petro, PA-C
- Solange Pierre-Michel, N.P.
- Pioneers Memorial Healthcare District (Comprehensive Women's Health at Pioneers)
- Pioneers Memorial Healthcare District (Pioneers Health Center)
- Pioneers Memorial Healthcare District
- Rosanna Salgado Pritting, FNP
- Cecilia Joseline Puga
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.