Active NPI
Imperial Valley Wellness Center
- Clinic/Center
- Brawley, CA
National Provider Identifier
1619364650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- IMPERIAL VALLEY WELLNESS CENTER
- Practice address
- 578 G St
Brawley, CA 92227-2411 - Phone
- (760) 344-2157
- Fax
- (760) 344-2203
- NPI assigned
- Apr 16, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Socorro Escalante
- Title
- Manager
- Phone
- (760) 344-2157
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
578 G St
Brawley, CA 92227-2411
Mailing address
578 G St
Brawley, CA 92227-2411
Phone (760) 344-2157
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429142400000",
"number": "1619364650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "578 G ST",
"city": "BRAWLEY",
"state": "CA",
"postal_code": "922272411",
"telephone_number": "760-344-2157",
"fax_number": "760-344-2203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "578 G ST",
"city": "BRAWLEY",
"state": "CA",
"postal_code": "922272411",
"telephone_number": "760-344-2157",
"fax_number": "760-344-2203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMPERIAL VALLEY WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-16",
"last_updated": "2015-04-16",
"status": "A",
"authorized_official_last_name": "ESCALANTE",
"authorized_official_first_name": "SOCORRO",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "760-344-2157"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brawley, CA
- Imperial Valley Healthcare District (Pioneers Health Center)
- Imperial Valley Healthcare District (Cardiology Services)
- Imperial Valley Healthcare District (Pioneers Children's Health Center)
- Imperial Valley Home Health Care Corporation
- Imperial Valley Hospitalist Inc
- Imperial Valleyrespite, Inc.
- Ramaiah Indudhara, MD
- Inland Empire Medical Transportation LLC
- Inpatient Care of Southern California Inc
- J R Vemulapalli MD Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.