Clinicas de Salud del Pueblo, Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · El Centro, CA
NPI 1346313889 · NPPES record last updated Feb 18, 2022
Key facts
- NPI
- 1346313889
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- CLINICAS DE SALUD DEL PUEBLO, INC
- Practice address
- 852 E Danenberg Dr.
El Centro, CA 92243 - Phone
- (760) 344-9951
- Fax
- (760) 344-5840
- NPI assigned
- Nov 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Yvonne Bell, MBA
- Title
- Ceo
- Phone
- (760) 344-9951
Other NPIs on the same Medicare enrollment 12
Other NPIs with the same Medicare PAC ID 10
Corporate family (same tax ID) 16
Practitioners 157
-
Bushra F Ahmad, M.D
-
Veerinder S. Anand, M.D.
-
Omar Aziz, M.D.
-
Lisa Michelle Bean, M.D.
-
Akashdeep Kaur Dhaliwal, D.O.
-
Luc Octave Fontaine, M.D
-
Stephen Edmund Gocke, M.D.
-
Cyril Methodias Gostich, D.P.M.
-
Vanessa Hernandez, D.O.
-
Aalamgeer Ibrahim, M.D.
-
Amindeep Lail, MD
-
Issadora Lara, MD
-
Kenneth Grant Lucero, M.D.
-
Eric Bell Mendoza, PSYD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071201000158 | CA | Part B Supplier - Clinic/Group Practice | 5496657082 |
Receives reassigned benefits from 148 practitioners 12 other NPIs on this enrollment Practice locations: Winterhaven, CA; Salton City, CA; Niland, CA; Mecca, CA; Indio, CA; El Centro, CA; Hemet, CA; Blythe, CA… |
National Provider Directory
- Tax ID family
- Brawley Health CLN
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
852 E Danenberg Dr.
El Centro, CA 92243
Mailing address
852 E Danenberg Dr.
El Centro, CA 92243
Phone (760) 344-9951
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356424212 | Other | NPPES | |
| 1649269747 | Other | NPPES | |
| 1699859421 | Other | NPI | |
| 1962599266 | Other | NPPES | |
| 1124115431 | Other | NPPES | |
| 1023188687 | Other | NPPES | |
| 1124109202 | Other | NPPES | |
| 1487741773 | Other | NPPES | |
| 1679654750 | Other | NPPES |
Other names
- Innercare
Other providers in El Centro, CA
- Karina Cid
- Melanie Alasandra Cisneros
- Alexia Michelle Cital
- Michelle Ali Claudio
- Clinicas de Salud del Pueblo Inc.
- Clinicas de Salud del Pueblo, Inc
- Lorraine Gaye Cloo
- Malena Rae Cochran
- David Michael Coffman
- Pedro Alonso Marroquin Colio
All providers in El Centro, CA · Federally Qualified Health Center (FQHC) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.