NPIMap

Organization Active NPI

DHHS PHS IHS Phoenix Area

Doing business as Ft Yuma Indian Health Center

  • Clinic/Center
  • Winterhaven, CA
National Provider Identifier
1265719918
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DHHS PHS IHS PHOENIX AREA
Doing business as
Ft Yuma Indian Health Center
Practice address
401 Picacho Road
Winterhaven, CA 92283
Phone
(760) 572-4100
Fax
(760) 572-2133
NPI assigned
Nov 9, 2011
Last updated
Oct 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Authorized official

Name
Alysia Cardona
Title
Chief Executive Officer
Phone
(760) 572-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

401 Picacho Road
Winterhaven, CA 92283

Mailing address

401 Picacho Rd
Winterhaven, CA 92283-9605
Phone (760) 572-4100

Other names 1

  • FT YUMA INDIAN HEALTH CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111212000142 TX Part B Supplier - Clinic/Group Practice 2668647108 Receives reassigned benefits from 58 practitioners
Practice locations: Winterhaven, CA

National Provider Directory

National Provider Directory
Tax ID family
DHHS PHS IHS Phoenix Area4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

4100 W 150th St
Cleveland, OH 44135

Practitioners & affiliated clinicians

Practitioners 58

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.

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1265719918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 PICACHO RD",
            "city": "WINTERHAVEN",
            "state": "CA",
            "postal_code": "922839605",
            "telephone_number": "760-572-4100",
            "fax_number": "760-572-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PICACHO ROAD",
            "city": "WINTERHAVEN",
            "state": "CA",
            "postal_code": "92283",
            "telephone_number": "760-572-4100",
            "fax_number": "760-572-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHHS PHS IHS PHOENIX AREA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "CARDONA",
        "authorized_official_first_name": "ALYSIA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "760-572-4100"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FT YUMA INDIAN HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FT YUMA INDIAN HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winterhaven, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; 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.