Imperial Valley Wound Care Inc

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

IMPERIAL VALLEY WOUND CARE INC

Practice address

200 E 4TH St Ste C
Calexico, CA 92231-2714

Phone

(818) 906-4466

NPI assigned

Dec 6, 2024

Organization subpart

No

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

Authorized official

Name

Brianne Crystal Gober, MDNPI 1477713048

Title

Ceo/Owner

Phone

(818) 906-4466

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Brianne Crystal Gober, M.D.

  • General Practice Physician
  • San Diego, CA
  • NPI 1477713048
  NPD Authorized official

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1174339949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 4TH ST STE C",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922312714",
            "telephone_number": "818-906-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 4TH ST STE C",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922312714",
            "telephone_number": "818-906-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL VALLEY WOUND CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "GOBER",
        "authorized_official_first_name": "BRIANNE",
        "authorized_official_middle_name": "CRYSTAL",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "818-906-4466",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imperial Valley Optometric Corporation
• Imperial Valley Optomtric Corporation
• Imperial Valley Pain Management, Inc.
• Imperial Valley Pharmacy, Inc.
• Imperial Valley Podiatry Center
• Industrial Urgent Care, Inc.
• Alixea Iniguez
• Innovative Health Care Resources Inc
• IV Premier Care LLC
• Ivm Transport Inc

• Adult Medicine Physician in Calexico, CA
• Providers in Calexico, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.