Active NPI
Pioneers Memorial Healthcare District
- Women's Health Nurse Practitioner
- Calexico, CA
National Provider Identifier
1316074073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 255734
- Legal business name
- PIONEERS MEMORIAL HEALTHCARE DISTRICT
- Practice address
- 731 Cesar Chavez Blvd
Calexico, CA 92231-2105 - Phone
- (760) 357-4850
- Fax
- (760) 357-6991
- NPI assigned
- Feb 28, 2007
- 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
- Mr. Richard Mendoza
- Title
- Ceo
- Phone
- (760) 351-3333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 255734 | CA | Primary |
Addresses
Primary practice location
731 Cesar Chavez Blvd
Calexico, CA 92231-2105
Mailing address
731 Cesar Chavez Blvd
Calexico, CA 92231-2105
Phone (760) 357-4850
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RNP9528 | Other | CA | RN FURNISHING # |
| RN255734 | Other | CA | RN LICENCE |
National Provider Directory
National Provider Directory- Tax ID family
- Pioneer Memorial HSP
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Brawley, CA
- NPI 1699908962
-
- Obstetrics & Gynecology Physician
- Brawley, CA
- NPI 1477163046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1316074073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 CESAR CHAVEZ BLVD",
"city": "CALEXICO",
"state": "CA",
"postal_code": "922312105",
"telephone_number": "760-357-4850",
"fax_number": "760-357-6991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 CESAR CHAVEZ BLVD",
"city": "CALEXICO",
"state": "CA",
"postal_code": "922312105",
"telephone_number": "760-357-4850",
"fax_number": "760-357-6991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIONEERS MEMORIAL HEALTHCARE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MENDOZA",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "760-351-3333",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "255734",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN FURNISHING #",
"identifier": "RNP9528",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENCE",
"identifier": "RN255734",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Calexico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.