Deen Enterprises Medical Corporation

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

DEEN ENTERPRISES MEDICAL CORPORATION

Practice address

1590 S Imperial Ave
El Centro, CA 92243-4241

Phone

(760) 344-7976

NPI assigned

Nov 2, 2023

Organization subpart

No

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

Authorized official

Name

Sohaib Tariq, MDNPI 1023391166

Title

Ceo

Phone

(609) 902-2259

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Deen Enterprises Medical Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Deen Enterprises Medical Corporation

  • Medical Specialty Clinic/Center
  • Imperial, CA
  • NPI 1891671392
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Deen Enterprises Medical Corporation

  • Medical Specialty Clinic/Center
  • Imperial, CA
  • NPI 1891671392
  NPPES parent name

Practitioners 6

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

• Sohaib Tariq, M.D.

  • Cardiovascular Disease Physician
  • Imperial, CA
  • NPI 1023391166

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Mayra Kytzya Casillas, NP

  • Family Nurse Practitioner
  • El Centro, CA
  • NPI 1851174494
  Medicare reassignment Care Compare group NPD
• Prashant Patel, MD

  • Cardiovascular Disease Physician
  • National City, CA
  • NPI 1598934960
  Medicare reassignment Care Compare group NPD
• Martin L Kabongo, MD, APC

  • Family Medicine Physician
  • Huntington Park, CA
  • NPI 1033168810
  Medicare reassignment Care Compare group
• Keri Denise Valdez, MSN, FNP

  • Adult Medicine Physician
  • Calexico, CA
  • NPI 1417590548
  Medicare reassignment NPD
• Mary Kay Klockmann, NP

  • Nurse Practitioner
  • Brawley, CA
  • NPI 1003840174
  NPD (past)

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1336912294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 S IMPERIAL AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 S IMPERIAL AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434241",
            "telephone_number": "760-344-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEN ENTERPRISES MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "TARIQ",
        "authorized_official_first_name": "SOHAIB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-902-2259",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Griselda De la Torre Astorga
• Anna Gabrielle De la Torre
• Socorro De la Torre
• Maria Esther De Leon
• Erin Kelle Dean, PHYSICIAN ASSISTANT
• Carolina Dela Peza, LIFESTYLE COACH
• Jennifer Delgadillo
• Yesenia Delgadillo
• Edward Delgado
• Gilbert Delgado

• Cardiovascular Disease Physician in El Centro, CA
• Providers in El Centro, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.