Organization Active NPI

County of Imperial

  • Public Health or Welfare Agency
  • El Centro, CA
National Provider Identifier
1790701142
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF IMPERIAL
Practice address
935 Broadway St
El Centro, CA 92243-2349
Phone
(760) 482-4438
Fax
(760) 352-7747
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robin Hodgkin
Title
Public Health Director
Phone
(760) 482-4438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

935 Broadway St
El Centro, CA 92243-2349

Mailing address

935 Broadway St
El Centro, CA 92243-2349
Phone (760) 482-4438

Other identifiers 3

IdentifierTypeStateIssuer
CH05095OtherCACHDP - LEAD PROGRAM
LAB70166FOtherCALABORATORY MEDI-CAL #
ZZT11820FOtherCACHDP PROVIDER NUMBER

Other names 1

  • Imperial County Public Health Department Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0670166Imperial County Public Health Laboratory935 Broadway, El Centro, CA 92243ComplianceJun 30, 2027

National Provider Directory

National Provider Directory
Tax ID family
Imperial County Behavioral Health53 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

Ownership & related parties

Subparts reporting this organization as parent 12

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790701142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 BROADWAY ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922432349",
            "telephone_number": "760-482-4438",
            "fax_number": "760-352-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 BROADWAY ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922432349",
            "telephone_number": "760-482-4438",
            "fax_number": "760-352-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF IMPERIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HODGKIN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "PUBLIC HEALTH DIRECTOR",
        "authorized_official_telephone_number": "760-482-4438"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHDP - LEAD PROGRAM",
            "identifier": "CH05095",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABORATORY MEDI-CAL #",
            "identifier": "LAB70166F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHDP PROVIDER NUMBER",
            "identifier": "ZZT11820F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imperial County Public Health Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.