El Centro Regional Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

EL CENTRO REGIONAL MEDICAL CENTER

Practice address

1271 Ross Ave
El Centro, CA 92243-4304

Phone

(760) 339-4040

NPI assigned

Feb 12, 2019

Organization subpart

Yes

Parent organization

EL CENTRO REGIONAL MEDICAL CENTERAs reported in NPPES

Name

Tisha Irene Benavidez

Title

Patient Financial Services Director

Phone

(760) 482-5334

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

• El Centro Regional Medical Center

  • General Acute Care Hospital
  • El Centro, CA
  • NPI 1861409823

  O20090522000227

  Same enrollment

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

• Elana Godebu, M.D.

  • Urology Physician
  • El Centro, CA
  • NPI 1609189224
  NPD
• Victor Lin, DO

  • Internal Medicine Physician
  • El Centro, CA
  • NPI 1134367204
  NPD

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

El Centro Reg Med Ctr3 organizations share this tax ID, including this one

Part of

El Centro Reg Med Ctr

Other organizations with this tax ID 2

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

• El Centro Regional Medical Center

  • Rural Health Clinic/Center
  • El Centro, CA
  • NPI 1144300476
  NPD tax ID
• El Centro Regional Medical Center

  • Rural Health Clinic/Center
  • Calexico, CA
  • NPI 1598840258
  NPD tax ID

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/1511ffe1-3474-454c-96b9-25125c8182f0/

• Imperial Valley Provider Billing Services Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 14, 2019.

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1124584420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 ROSS AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434306",
            "telephone_number": "760-482-5334",
            "fax_number": "760-352-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1271 ROSS AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434304",
            "telephone_number": "760-339-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL CENTRO REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EL CENTRO REGIONAL MEDICAL CENTER",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "BENAVIDEZ",
        "authorized_official_first_name": "TISHA",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "PATIENT FINANCIAL SERVICES DIRECTOR",
        "authorized_official_telephone_number": "760-482-5334"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imperial Valley Provider Billing Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Imperial Valley Provider Billing Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• El Centro Comprehensive Pain Management Inc
• El Centro Elementary School District
• El Centro Medical Regional Center
• El Centro Pharmacy
• El Centro Physician Services, a Medical Corporation
• El Centro Regional Medical Center
• El Centro Regional Medical Center
• Mohsen M El Ramah, M.D.
• El Valle Home Health Inc
• Hussein El-Newihi, MD

• All providers in El Centro, CA
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.

Verify at the official NPI Registry.