Imperial Pathology Inc., a California Professional Corporation

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

IMPERIAL PATHOLOGY INC., A CALIFORNIA PROFESSIONAL CORPORATION

Practice address

1415 Ross Ave
El Centro, CA 92243-4306

Phone

(760) 339-7281

Fax

(760) 339-4570

NPI assigned

Jan 20, 2025

Last updated

Jan 20, 2025By 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

Douglas Juarez, MDNPI 1700854007

Title

Ceo

Phone

(760) 604-4233

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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.

• Douglas Juarez, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Brawley, CA
  • NPI 1700854007
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1790597524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 AGUA VISTA DR",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144302",
            "telephone_number": "760-604-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 ROSS AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434306",
            "telephone_number": "760-339-7281",
            "fax_number": "760-339-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL PATHOLOGY INC., A CALIFORNIA PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "JUAREZ",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-604-4233",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imperial County Pediatric Associates, Inc.
• Imperial County Physicians Medical Group
• Imperial County Physicians Medical Group Clinic
• Imperial County Public Health Department
• Imperial County Public Health Department
• Imperial Valley Drug & Rehab Clinic
• Imperial Valley Emergency Physicians Medical Group
• Imperial Valley Family Care Medical Group
• Imperial Valley Healthcare District
• Imperial Valley LGBT Resource Center, Inc.

• Anatomic Pathology & Clinical Pathology Physician in El Centro, CA
• Providers in El Centro, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.