NPIMap

Organization Active NPI

La Suarez a Professional Corporation

Doing business as Primary Healthcare Medical Group

  • Primary Care Clinic/Center
  • Brawley, CA
National Provider Identifier
1841074267
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LA SUAREZ A PROFESSIONAL CORPORATION
Doing business as
Primary Healthcare Medical Group
Practice address
125 S 5TH St Ste B
Brawley, CA 92227-2408
Phone
(760) 344-8100
Fax
(760) 545-0243
NPI assigned
Aug 24, 2023
Last updated
Jul 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Authorized official

Name
Dr. Lorenzo Suarez, MDNPI 1619935137
Title
President
Phone
(760) 498-4407

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

125 S 5TH St Ste B
Brawley, CA 92227-2408

Mailing address

125 S 5TH St Ste B
Brawley, CA 92227-2408
Phone (760) 344-8100

Other practice location 1

1550 Pepper Dr Ste ABC
El Centro, CA 92243-4165
Phone (760) 344-8100

Other practice location 2

420 Heffernan Ave Ste B2
Calexico, CA 92231-4718
Phone (760) 618-4625

Other names 1

  • Primary Healthcare Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231213003896 CA Part B Supplier - Clinic/Group Practice 4082063201 Receives reassigned benefits from 9 practitioners
Practice locations: Brawley, CA; Calexico, CA; El Centro, CA

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
05D2303879La Suarez a Professional Corporation420 Heffernan Avenue Ste B2, Calexico, CA 92231Certificate of waiverMay 1, 2028
05D2345893La Suarez a Professional Corporation420 Heffernan Ave Ste B1, Calexico, CA 92231Certificate of waiverJun 17, 2028

National Provider Directory

National Provider Directory

Locations

125 S 5th St
Ste A
Brawley, CA 92227
Phone (760) 344-8100

125 S 5th St
Ste B
Brawley, CA 92227
Phone (760) 344-8100

420 Heffernan Ave
Calexico, CA 92231
Phone (760) 270-9126

1550 Pepper Dr
Ste A
El Centro, CA 92243
Phone (760) 312-5900

1550 Pepper Dr
Ste Abc
El Centro, CA 92243
Phone (760) 312-5900

1550 Pepper Dr
Ste B
El Centro, CA 92243
Phone (760) 312-5900

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1841074267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S 5TH ST STE B",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272408",
            "telephone_number": "760-344-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S 5TH ST STE B",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272408",
            "telephone_number": "760-344-8100",
            "fax_number": "760-545-0243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 Pepper Dr Ste ABC",
            "address_purpose": "LOCATION",
            "city": "El Centro",
            "state": "CA",
            "postal_code": "922434165",
            "country_code": "US",
            "telephone_number": "760-344-8100",
            "fax_number": "760-545-0243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 Heffernan Ave Ste B2",
            "address_purpose": "LOCATION",
            "city": "Calexico",
            "state": "CA",
            "postal_code": "922314718",
            "country_code": "US",
            "telephone_number": "760-618-4625",
            "fax_number": "760-545-0243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LA SUAREZ A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "LORENZO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-498-4407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Healthcare Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Primary Healthcare Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brawley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.