Organization Active NPI

Integrity Senior Care Clinic, Inc

  • Clinic/Center
  • El Centro, CA
National Provider Identifier
1174378665
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
INTEGRITY SENIOR CARE CLINIC, INC
Practice address
1671 W Main St Ste B
El Centro, CA 92243-5420
Phone
(442) 271-4050
NPI assigned
Apr 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Julio Martinez, MD
Title
Medical Director
Phone
(422) 271-4050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1671 W Main St Ste B
El Centro, CA 92243-5420

Mailing address

1671 W Main St Ste B
El Centro, CA 92243-5420
Phone (442) 271-4050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250606003576 CA Part B Supplier - Clinic/Group Practice 2466962618 Receives reassigned benefits from 1 practitioner
Practice locations: El Centro, CA

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
05D2308636Integrity Senior Care Clinic Inc1671 W Main St Ste B, El Centro, CA 92243Certificate of waiverJul 30, 2026

National Provider Directory

National Provider Directory

Locations

1617 W Main St
Ste B
El Centro, CA 92243

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1174378665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 W MAIN ST STE B",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922435420",
            "telephone_number": "442-271-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 W MAIN ST STE B",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922435420",
            "telephone_number": "442-271-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY SENIOR CARE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JULIO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "422-271-4050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.