Active NPI
Mervat Kelada M.D. a Medical Corp
- Rural Health Clinic/Center
- Imperial, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- License
- A48353
- Legal business name
- MERVAT KELADA M.D. A MEDICAL CORP
- Practice address
- 207 E Barioni Blvd Ste a
Imperial, CA 92251-1620 - Phone
- (760) 355-2999
- Fax
- (760) 355-4150
- NPI assigned
- Aug 28, 2015
- Last updated
- Aug 28, 2015
- 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
- Dr. Mervat Gamil Kelada, M.D.
- Title
- MD/Administrator
- Phone
- (760) 562-6633
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | A48353 | CA | Primary |
Addresses
Primary practice location
207 E Barioni Blvd Ste a
Imperial, CA 92251-1620
Mailing address
1001 Blair Ave
Calexico, CA 92231-2308
Phone (760) 768-5055
National Provider Directory
National Provider Directory- Tax ID family
- Mervat Kelada M D a Medical
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba De Anza Urgent Care
- Family Medicine Physician
- Calexico, CA
- NPI 1699944587
-
dba De Anza Clinic
- Rural Health Clinic/Center
- Calexico, CA
- NPI 1356524599
-
- Family Medicine Physician
- Imperial, CA
- NPI 1538202726
Locations
1001 Blair Ave
Calexico, CA 92231
Phone (760) 562-6633
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Calexico, CA
- NPI 1255333035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440720000000",
"number": "1225405962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 BLAIR AVE",
"city": "CALEXICO",
"state": "CA",
"postal_code": "922312308",
"telephone_number": "760-768-5055",
"fax_number": "760-768-5037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 E BARIONI BLVD STE A",
"city": "IMPERIAL",
"state": "CA",
"postal_code": "922511620",
"telephone_number": "760-355-2999",
"fax_number": "760-355-4150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERVAT KELADA M.D. A MEDICAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-28",
"last_updated": "2015-08-28",
"status": "A",
"authorized_official_last_name": "KELADA",
"authorized_official_first_name": "MERVAT",
"authorized_official_middle_name": "GAMIL",
"authorized_official_title_or_position": "MD/ADMINISTRATOR",
"authorized_official_telephone_number": "760-562-6633",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "CA",
"license": "A48353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Imperial, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.