NPIMap

Organization Active NPI

Imperial Valley Healthcare District

Doing business as Pioneers Health Center

  • Rural Health Clinic/Center
  • Brawley, CA
National Provider Identifier
1336944230
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
IMPERIAL VALLEY HEALTHCARE DISTRICT
Doing business as
Pioneers Health Center
Practice address
751 W Legion Rd Ste 103
Brawley, CA 92227-7754
Phone
(760) 351-4400
Fax
(760) 351-4407
NPI assigned
Feb 14, 2025
Last updated
Feb 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Authorized official

Name
Carly Loper
Title
Chief Financial Officer
Phone
(760) 351-3594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

751 W Legion Rd Ste 103
Brawley, CA 92227-7754

Mailing address

207 W Legion Rd
Brawley, CA 92227-7780
Phone (760) 351-3341

Other practice location 1

751 W Legion Rd Ste 201
Brawley, CA 92227-7755
Phone (760) 351-3700

Other names 1

  • Pioneers Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250326002679 CA Part A Provider - Rural Health Clinic 4981127438 Practice locations: Brawley, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336944230. Details of each certification follow.

Rural health clinic certification: CCN 058678

Legal name
IMPERIAL VALLEY HEALTHCARE DISTRICT
Doing business as
PIONEERS HEALTH CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 16, 2015
Last certification
Mar 25, 2021
Ownership / control type
Non-profit – church related
Most recent change of ownership
Jan 25, 2025 (1 total)
Organization structure
GovernmentNon-profit
Enrollment address
751 W Legion Road Stes 103 and 201
Brawley, CA 92227-7754
Related CCNs
050342

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Imperial Valley Healthcare District5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Christopher Bjornberg Individual Corporate OfficerChief Executive Officer Jan 21, 2025
Imperial Valley Healthcare District Organization, Brawley, CA Other Jan 21, 2025 100%
Carol Bojorquez Individual W-2 Managing EmployeeChief Nursing Officer Jan 21, 2025
Carly Loper Individual Corporate OfficerChief Financial Officer Jan 21, 2025
W-2 Managing EmployeeChief Financial Officer Jan 21, 2025

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pioneers Memorial HospitalBrawley, CA, CCN 050342 Hospital Other (100%) Jan 21, 2025
Pioneers Children's Health CenterBrawley, CA, CCN 058700 Rural health clinic Other (100%) Jan 21, 2025
Calexico Health CenterCalexico, CA, CCN 058607 Rural health clinic Other (100%) Jan 21, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Change-of-ownership history 1

DateEventCounterparty
Jan 21, 2025 Change of OwnershipThis provider was the buyer Pioneers Health CenterCCN 058678, CA, NPI 1720401607

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1336944230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W LEGION RD",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922277780",
            "telephone_number": "760-351-3341",
            "fax_number": "760-351-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 W LEGION RD STE 103",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922277754",
            "telephone_number": "760-351-4400",
            "fax_number": "760-351-4407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 W Legion Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Brawley",
            "state": "CA",
            "postal_code": "922277755",
            "country_code": "US",
            "telephone_number": "760-351-3700",
            "fax_number": "760-351-3770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IMPERIAL VALLEY HEALTHCARE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "LOPER",
        "authorized_official_first_name": "CARLY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "760-351-3594"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneers Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brawley, CA

Sources for this page

Verify at the official NPI Registry.