Desert Health Clinic LLC
Organization Active NPI Family Medicine Physician · Calexico, CA
NPI 1386465979 · NPPES record last updated Feb 26, 2025
Key facts
- NPI
- 1386465979
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- DESERT HEALTH CLINIC LLC
- Practice address
- 2536 Rockwood Ave Ste 107
Calexico, CA 92231-4408 - Phone
- (442) 250-7442
- NPI assigned
- Oct 17, 2024
- Organization subpart
- No
Authorized official
- Name
- Mrs. Yelitza Leonor Cuen
- Title
- Ceo
- Phone
- (442) 250-7442
Practitioners 7
-
Amanda Cuellar, N.P.
-
Joe Anthony Gonzales, FNP
-
Patricia Romero, FNP
-
Mayra Carboni, N.P.
-
Benjamin Reisin, MFC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250108003169 | CA | Part B Supplier - Clinic/Group Practice | 3072041763 |
Receives reassigned benefits from 7 practitioners Practice locations: Calexico, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
2536 Rockwood Ave Ste 107
Calexico, CA 92231-4408
Mailing address
2536 Rockwood Ave Ste 107
Calexico, CA 92231-4408
Phone (442) 250-7442
Other providers in Calexico, CA
- James E Creek
- Susan J Dean
- Cesar Delgadillo
- Melisa Delgadillo
- Desert Agave Pharmacy Inc
- Desert Podiatrist Center Inc
- Desert Primary Quality Healthcare Inc
- Desert Specialty Group. Inc
- DN Medical Transport LLC
- Jovanna Dollente
All providers in Calexico, CA · Family Medicine Physician 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 26, 2025. 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.