Mervat Kelada M D a Medical Corporation

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MERVAT KELADA M D A MEDICAL CORPORATION

Practice address

1001 Blair Ave
Calexico, CA 92231-2308

Phone

(760) 562-6633

Fax

(760) 768-5037

NPI assigned

Dec 11, 2007

Organization subpart

No

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

Authorized official

Name

Mervat G. KeladaNPI 1255333035

Title

President

Phone

(760) 768-5055

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• De Anza Clinic Doing business as
• De Anza Urgent Care Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Rural health clinic certification: CCN 553866

Legal name

MERVAT KELADA M D A MEDICAL CORPORATION

Doing business as

DE ANZA URGENT CARE CLINIC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

May 6, 1996

Last certification

Sep 26, 2019

Ownership / control type

1B

Organization structure

CorporationProprietary

Incorporated

Aug 6, 1996 in CA

Enrollment address

1001 Blair Avenue
Calexico, CA 92231-2308

Other NPIs with the same Medicare PAC ID 1

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

• Mervat Kelada M D a Medical Corporation

  • Family Medicine Physician
  • Imperial, CA
  • NPI 1538202726

  2163507674

  Same PAC ID

Tax ID family

Mervat Kelada M D a Medical4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Mervat G. Kelada, M.D.

  • Family Medicine Physician
  • Calexico, CA
  • NPI 1699944587
  NPD tax ID
• Mervat Kelada M D a Medical Corporation

  • Family Medicine Physician
  • Imperial, CA
  • NPI 1538202726
  NPD tax ID
• Mervat Kelada M.D. a Medical Corp

  • Rural Health Clinic/Center
  • Imperial, CA
  • NPI 1225405962
  NPD tax ID

Locations

All disclosed owners & managing parties 1

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

Owners & managing parties with NPI records 1

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

• John Kelada, M.D.

  • Nephrology Physician
  • Cameron Park, CA
  • NPI 1861703530

  5% Or Greater Direct Ownership Interest, Corporate Director, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

Practitioners 1

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

• Mervat G. Kelada, M.D.

  • Family Medicine Physician
  • Calexico, CA
  • NPI 1255333035
  NPD (past) Authorized official

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1356524599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BLAIR AVE",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922312308",
            "telephone_number": "760-562-6633",
            "fax_number": "760-768-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BLAIR AVE",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922312308",
            "telephone_number": "760-562-6633",
            "fax_number": "760-768-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERVAT KELADA M D A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "KELADA",
        "authorized_official_first_name": "MERVAT",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-768-5055"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM53866F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "De Anza Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "De Anza Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "De Anza Urgent Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medical Supply Depot 2, Inc.
• Angela Marie Melendez, CAODC-6781
• Michelle Lynn Melendez, MD
• Ivan Armando Mendoza, EMT-P, PSGT
• Mervat G. Kelada, M.D.
• Gary David Metelski
• Mexpro Dent
• Lucero Meza Ayala
• Daniela Dayana Meza
• Melissa Jeannette Meza, FNP

• Rural Health Clinic/Center in Calexico, CA
• Providers in Calexico, CA by specialty
• Rural Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.