NPIMap

Organization Active NPI

Clinicas de Salud del Pueblo, Inc

Doing business as Clinicas de Salud del Pueblo

  • Federally Qualified Health Center (FQHC)
  • Calexico, CA
National Provider Identifier
1962599266
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
090000137 Issued in CA
Legal business name
CLINICAS DE SALUD DEL PUEBLO, INC
Doing business as
Clinicas de Salud del Pueblo
Innercare
Innercare - Calexico
Practice address
223 W Cole Blvd
Calexico, CA 92231-9722
Phone
(760) 357-2020
Fax
(760) 357-1056
NPI assigned
Oct 6, 2006
Last updated
Apr 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 090000137 CA Primary

Addresses

Primary practice location

223 W Cole Blvd
Calexico, CA 92231-9722

Mailing address

852 E Danenberg Dr.
El Centro, CA 92243
Phone (760) 344-9951

Other identifiers 3

IdentifierTypeStateIssuer
BCP70031FOtherCACANCER DETECTION PROGRAM
HAP70031FOtherCAFAMILY PACT
FHC70031FMedicaidCA

Other names 3

  • Clinicas de Salud del Pueblo Doing business as
  • Innercare Doing business as
  • Innercare - Calexico Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040123000562 CA Part A Provider - Federally Qualified Health Center (FQHC) 5496657082 Practice locations: Calexico, 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 1962599266. Details of each certification follow.

Federally qualified health center certification: CCN 051851

Legal name
CLINICAS DE SALUD DEL PUEBLO INC
Doing business as
CLINICAS DE SALUD DEL PUEBLO INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 20, 1970 in CA
Enrollment address
223W Cole Blvd
Calexico, CA 92231-9722

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

Ownership & related parties

All disclosed owners & managing parties 9

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, 2015
Leticia de Lara Individual Corporate DirectorBoard Member Jan 1, 2017
Georgina Montano Individual Corporate DirectorBoard Member Jan 1, 2016
Raymond Leon Individual Corporate DirectorBoard Member Jan 1, 2015
Elizabeth Moreno Individual Corporate DirectorBoard Member Jan 1, 2016
Yvonne W Bell Individual W-2 Managing EmployeeCeo Mar 20, 2015
Isidoro Romero Individual Corporate DirectorBoard Member Jan 1, 2016
Maria D Lopez Individual Corporate DirectorBoard Member Jan 1, 2015
Nidia Carranza Individual Corporate DirectorBoard Member Jan 1, 2014

Practitioners & affiliated clinicians

Practitioners 19

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 19

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": "1712275200000",
    "number": "1962599266",
    "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": "760-344-9951",
            "fax_number": "760-344-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 W COLE BLVD",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922319722",
            "telephone_number": "760-357-2020",
            "fax_number": "760-357-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAS DE SALUD DEL PUEBLO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "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_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "090000137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CANCER DETECTION PROGRAM",
            "identifier": "BCP70031F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY PACT",
            "identifier": "HAP70031F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70031F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinicas de Salud del Pueblo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Innercare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Innercare - Calexico",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Calexico, CA

Sources for this page

Verify at the official NPI Registry.