Pioneers Memorial Healthcare District

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

PIONEERS MEMORIAL HEALTHCARE DISTRICT

Doing business as

Comprehensive Women's Health at Pioneers

Practice address

751 W Legion Rd Ste 204
Brawley, CA 92227-7755

Phone

(760) 351-2626

Fax

(760) 351-2616

NPI assigned

Aug 7, 2020

Last updated

Aug 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lawrence Edward Lewis

Title

Chief Executive Officer

Phone

(760) 351-3597

Specialties & licenses 1

Addresses

Other names 1

• Comprehensive Women's Health at Pioneers Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pioneers Memorial Healthcare District

  • General Acute Care Hospital
  • Brawley, CA
  • NPI 1073519443

  O20051014000744

  Same enrollment

Tax ID family

Nephrology Specialists3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Imperial Heights Healthcare & Wellness Centre LLC

  • Skilled Nursing Facility
  • Brawley, CA
  • NPI 1699908962
  NPD tax ID
• Pioneers Memorial Healthcare District

  • Women's Health Nurse Practitioner
  • Calexico, CA
  • NPI 1316074073
  NPD tax ID

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1477163046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 W LEGION RD STE 204",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922277755",
            "telephone_number": "760-351-2626",
            "fax_number": "760-351-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 W LEGION RD STE 204",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922277755",
            "telephone_number": "760-351-2626",
            "fax_number": "760-351-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEERS MEMORIAL HEALTHCARE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "760-351-3597"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Women's Health at Pioneers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Violeta Pedernal
• Evelyn Perez
• Matthew Petro, PA-C
• Solange Pierre-Michel, N.P.
• Pioneers Memorial Healthcare District
• Pioneers Memorial Healthcare District (Pioneers Health Center)
• Pioneers Memorial Healthcare District
• Rosanna Salgado Pritting, FNP
• Cecilia Joseline Puga
• Raj Lunagaria Inc (White Cross Pharmacy)

• Obstetrics & Gynecology Physician in Brawley, CA
• Providers in Brawley, 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 Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.