NPIMap

Organization Active NPI

County of Imperial

  • Prison Health Clinic/Center
  • El Centro, CA
National Provider Identifier
1336025162
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
COUNTY OF IMPERIAL
Practice address
328 Applestill Road
El Centro, CA 92243
Phone
(442) 265-2000
NPI assigned
Aug 15, 2025
Organization subpart
Yes
Parent organization
COUNTY OF IMPERIALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Authorized official

Name
Fred Miramontes
Title
Sheriff-Coroner-Marshal
Phone
(442) 265-2005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X Primary

Addresses

Primary practice location

328 Applestill Road
El Centro, CA 92243

Mailing address

940 W. Main Street
Suite 208
El Centro, CA 92243

Other identifiers 1

IdentifierTypeStateIssuer
1311LCDOC1312LCDOCMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Imperial County Behavioral Health53 organizations share this tax ID, including this one
Part of
Imperial County Behavioral Health

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

940 W Main St
Ste 208
El Centro, CA 92243

328 Applestille Rd
El Centro, CA 92243
Phone (442) 265-2000

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1755216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1336025162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 W. MAIN STREET",
            "address_2": "SUITE 208",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "92243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 APPLESTILL ROAD",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "92243",
            "telephone_number": "442-265-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF IMPERIAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF IMPERIAL",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "MIRAMONTES",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "SHERIFF-CORONER-MARSHAL",
        "authorized_official_telephone_number": "442-265-2005"
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1311LCDOC1312LCDOC",
            "state": "CA"
        }
    ],
    "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 Aug 15, 2025; 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.