Imperial Valley Womens Clinic

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

IMPERIAL VALLEY WOMENS CLINIC

Practice address

495 E Orange Ave
El Centro, CA 92243

Phone

(760) 353-3331

Fax

(760) 353-5085

NPI assigned

Aug 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stephen E Gocke, MD

Title

President

Phone

(760) 353-3331

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Mary I Gutierrez, NP

  • Nurse Practitioner
  • Calexico, CA
  • NPI 1023191582
  NPD (past)
• Elias N Moukarzel, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • El Centro, CA
  • NPI 1205912847
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1417060518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 E ORANGE AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "92243",
            "telephone_number": "760-353-3331",
            "fax_number": "760-353-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 E ORANGE AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "92243",
            "telephone_number": "760-353-3331",
            "fax_number": "760-353-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL VALLEY WOMENS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "GOCKE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-353-3331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ79332Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB72222F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Imperial Valley Optometric Corporation
• Imperial Valley Pain & Wellness Management Inc.
• Imperial Valley Pharmacy LLC
• Imperial Valley Pharmacy LLC
• Imperial Valley Podiatry Associates Inc
• Imperial Valley Womens Clinic
• Imperial Vascular and Wound Care Specialists
• Rose Mary Inman
• Integrity Senior Care Clinic, Inc
• Sylvia Iribe

• Obstetrics & Gynecology Physician in El Centro, CA
• Providers in El Centro, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.