NPIMap

Organization Active NPI

Clinicas de Salud del Pueblo, Inc

Doing business as Innercare

  • Federally Qualified Health Center (FQHC)
  • El Centro, CA
National Provider Identifier
1487741773
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
090000485 Issued in CA
Legal business name
CLINICAS DE SALUD DEL PUEBLO, INC
Doing business as
Innercare
Innercare - El Centro
Practice address
852 E Danenberg Dr.
El Centro, CA 92243
Phone
(760) 352-2257
Fax
(760) 352-4579
NPI assigned
Oct 6, 2006
Last updated
Feb 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Authorized official

Name
Ms. Yvonne Bell, MBA
Title
Ceo
Phone
(760) 344-9951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 090000485 CA Primary

Addresses

Primary practice location

852 E Danenberg Dr.
El Centro, CA 92243

Mailing address

852 E Danenberg Dr.
El Centro, CA 92243
Phone (760) 352-2257

Other names 3

  • Innercare Doing business as
  • Innercare - El Centro Doing business as
  • Clinicas de Salud del Pueblo El Centro Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040123000578 CA Part A Provider - Federally Qualified Health Center (FQHC) 5496657082 Practice locations: El Centro, CA
O20071201000158 CA Part B Supplier - Clinic/Group Practice 5496657082 Receives reassigned benefits from 148 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Winterhaven, CA; Salton City, CA; Niland, CA; Mecca, CA; Indio, CA; El Centro, CA; Hemet, CA; Blythe, CA…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487741773. Details of each certification follow.

Federally qualified health center certification: CCN 051951

Legal name
CLINICAS DE SALUD DEL PUEBLO INC
Doing business as
EL CENTRO HEALTH CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 1, 1995
Last certification
Jul 1, 1995
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Jun 27, 1970 in CA
Enrollment address
852 E Danenberg Dr
El Centro, CA 92243-8511

Other NPIs with the same Medicare PAC ID 10

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

Other NPIs on the same Medicare enrollment 12

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

National Provider Directory

National Provider Directory

Locations

1415 W Hobsonway
Blythe, CA 92225
Phone (760) 544-6996

196 W Legion Rd
Ste B
Brawley, CA 92227

197 W Legion Rd
Ste 400
Brawley, CA 92227

676 Base Line Rd
#1
Winterhaven, CA 92283

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Shirley Chronister Individual Corporate DirectorBoard Member Jan 1, 2011
Leticia de Lara Individual Corporate DirectorBoard Member Jan 1, 2017
Raymond Leon Individual Corporate DirectorBoard Member Jan 1, 2012
Elizabeth Moreno Individual Corporate DirectorBoard Member Jan 1, 2007
Yvonne W Bell Individual Corporate DirectorPresident/Ceo May 10, 2010
W-2 Managing EmployeePresident/Ceo May 10, 2010
Isidoro Romero Individual Corporate DirectorBoard Member May 10, 2010
Maria D Lopez Individual Corporate DirectorBoard Member Jan 1, 2015
Nidia Carranza Individual Corporate DirectorBoard Member Oct 24, 2013

Practitioners & affiliated clinicians

Practitioners 66

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 66

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1487741773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 E DANENBERG DR.",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "92243",
            "telephone_number": "760-352-2257",
            "fax_number": "760-352-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 E DANENBERG DR.",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "92243",
            "telephone_number": "760-352-2257",
            "fax_number": "760-352-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAS DE SALUD DEL PUEBLO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-344-9951",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "090000485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innercare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Innercare - El Centro",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clinicas de Salud del Pueblo El Centro",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Clinicas de Salud del Pueblo El Centro",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in El Centro, CA

Sources for this page

Verify at the official NPI Registry.