EL CENTRO REGIONAL MEDICAL CENTER (NPI# 1124584420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124584420 |
| Entity Type | Organization |
| Organization Name | EL CENTRO REGIONAL MEDICAL CENTER |
| Other Organization Name | IMPERIAL VALLEY PROVIDER BILLING SERVICES |
| Practice Address |
1271 Ross Ave El Centro CA 92243-4304 |
| Mailing Address |
1415 Ross Ave El Centro CA 92243-4306 |
| Practice Telephone | 7603394040 |
| Mailing Telephone | 7604825334 |
| Mailing Fax Number | 7603527612 |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-03-14 |
| Authorized Official Name | TISHA IRENE BENAVIDEZ (PATIENT FINANCIAL SERVICES DIRECTOR) |
| Authorized Official Telephone | 7604825334 |
| Is Organization Subpart | Y |
| Parent Organization Name | EL CENTRO REGIONAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| Imperial Valley Provider Billing Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861409823 | El Centro Regional Medical Center | General Acute Care Hospital | 1415 W Ross Ave, El Centro, CA 92243 | 2006-08-02 |
| 1598840258 | El Centro Regional Medical Center | Clinic/Center | 495 E Birch St Ste A, Calexico, CA 92231-2374 | 2006-10-25 |
| 1144300476 | El Centro Regional Medical Center | Clinic/Center | 385 W Main St, El Centro, CA 92243-3040 | 2006-10-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EL CENTRO REGIONAL MEDICAL CENTER, INC | 1415 Ross Ave, El Centro, CA 92243-4306 |
| Street Address |
1271 ROSS AVE |
| City | EL CENTRO |
| State | CA |
| Zip Code | 92243-4304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023123288 | Syed Hasnat Ahmed | Internal Medicine | 1271 Ross Ave, El Centro, CA 92243-4304 | 2006-08-20 |
| 1124630736 | Christina Galindo | Nurse Practitioner | 1271 Ross Ave, El Centro, CA 92243-4304 | 2020-08-17 |
| 1538701990 | El Centro Physician Services, A Medical Corporation | Obstetrics & Gynecology | 1271 Ross Ave, El Centro, CA 92243-4304 | 2019-10-16 |
| 1386955383 | S H Ahmed Md Phd Inc | Internal Medicine | 1271 Ross Ave, El Centro, CA 92243-4304 | 2010-06-24 |
| 1437398591 | Saqib Razzaque | Internal Medicine | 1271 Ross Ave, El Centro, CA 92243-4304 | 2009-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1346856671 | Ana Lilia Solorio | Health Educator | 1415 Ross Ave., El Centro, CA 92243 | 2020-09-22 |
| 1467073775 | Mabel Janet Castro-ley | Counselor | 22 N 8th St., El Centro, CA 92243 | 2020-04-28 |
| 1831723030 | Guadalupe Heredia | Registered Nurse | 1415 Ross Ave El Centro Ca, El Centro, El Centro, CA 92243 | 2020-02-26 |
| 1851948061 | Hamlet Khachatryan Dds, Inc. | Dentist | 1698 Cruickshank Drive, Suite B, El Centro, CA 92243 | 2019-08-22 |
| 1104478924 | Courtney Barker | Occupational Therapist | 1161 Main St., El Centro, CA 92243 | 2019-07-11 |
| 1891350997 | Amy Nguyen Dao | Nurse Practitioner | 852 Danenberg Drive, El Centro, CA 92243 | 2019-05-03 |
| 1538723622 | Patrick H Dao | Nurse Practitioner | 852 Danenberg Dr., El Centro, CA 92243 | 2019-04-24 |
| 1114494861 | Alba Care Mental Health Serrvices | Counselor | 1498 Main Street, El Centro, CA 92243 | 2018-10-31 |
| 1922503085 | Joanne P. Goode | Nurse Practitioner | El Centro Health Clinic, 651 Wake Avenue, El Centro, CA 92243 | 2018-03-29 |
| Find all providers in zip 92243 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861409823 | El Centro Regional Medical Center | General Acute Care Hospital | 1415 W Ross Ave, El Centro, CA 92243 | 2006-08-02 |
| 1225414592 | El Centro Medical Regional Center | General Acute Care Hospital | 1415 Ross Ave, El Centro, CA 92243-4306 | 2015-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763224 | Mola Medical Practice Inc | General Acute Care Hospital | 6906 Treasure Trl, Los Angeles, CA 90068-1838 | 2020-08-31 |
| 1497376966 | Barton Ambulatory Clinics | General Acute Care Hospital | 2170 South Ave Ste B, South Lake Tahoe, CA 96150-7026 | 2020-05-06 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1699282285 | Kern County Hospital Authority | General Acute Care Hospital | 6001 Truxtun Ave Ste 210, Bakersfield, CA 93309-0662 | 2018-01-04 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1720597511 | Children's Recovery Center 1, LLC | General Acute Care Hospital | 3777 S Bascom Ave, Campbell, CA 95008-7320 | 2017-09-25 |
| 1336668284 | Kern County Hospital Authority | General Acute Care Hospital | 2920 F St Ste B1, Bakersfield, CA 93301-1829 | 2017-09-12 |
| 1821524315 | Azadeh Salek | General Acute Care Hospital | 308 Paseo De La Playa Apt 4, Redondo Beach, CA 90277-6251 | 2017-05-03 |
| 1790210359 | Va Hospital Mather | General Acute Care Hospital | 3131 Sparrow Dr, Sacramento, CA 95834-2639 | 2017-04-20 |
| 1881127041 | Chad William Downing | General Acute Care Hospital | 28003 Via Del Agua, Laguna Niguel, CA 92677-7359 | 2017-04-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.