CALEXICO WELLNESS CENTER (NPI# 1215443346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215443346 |
| Entity Type | Organization |
| Organization Name | CALEXICO WELLNESS CENTER |
| Practice Address |
420 Heffernan Ave Calexico CA 92231-4718 |
| Mailing Address |
4849 Ronson Ct Ste 118 San Diego CA 92111-1805 |
| Practice Telephone | 7602052021 |
| Mailing Telephone | 6194252737 |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2018-11-01 |
| Authorized Official Name | BLANCA MORALES (CEO) |
| Authorized Official Telephone | 6193703924 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
420 HEFFERNAN AVE |
| City | CALEXICO |
| State | CA |
| Zip Code | 92231-4718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073755419 | Southwest Diagnostic Services, LLC | Clinic/Center | 420 Heffernan Ave, Suite D, Calexico, CA 92231-4718 | 2009-03-31 |
| 1124676135 | Retina Institute of California Medical Group | Ophthalmology | 420 Heffernan Ave, Calexico, CA 92231-4718 | 2019-09-03 |
| 1225319478 | Francisco T Pimentel | Physical Therapy Assistant | 420 Heffernan Ave, Ste 2-b, Calexico, CA 92231-4718 | 2011-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512567 | Clinicas Del Valle, Inc | Anesthesiology | 120 W. Cole Blvd, Ste. B, Calexico, CA 92231 | 2020-09-10 |
| 1033745757 | Imperial County Behavioral Health Services | Clinic/Center | 23 East 3rd Street, Calexico, CA 92231 | 2020-03-13 |
| 1508143827 | Imperial Valley Optomtric Corporation | Optometrist | 1113 Imperial Ave. W., Ste 103, Calexico, CA 92231 | 2011-11-15 |
| 1902065428 | Mariana Nogales | Registered Nurse | 233 West Cole Road, Calexico, CA 92231 | 2008-06-09 |
| 1447462924 | Calexico Unified School District | Local Education Agency (LEA) | 901 Andrade Ave., Calexico, CA 92231 | 2007-05-04 |
| 1740327238 | Manuel Ypina | Registered Nurse | 604 Birch St, Calexico, CA 92231 | 2007-01-31 |
| 1851457725 | Michelle Lynn Melendez | Pediatrics | 233 W. Cole Blvd, Calexico, CA 92231 | 2006-12-28 |
| 1952310898 | Edna R. Esquer | Registered Nurse | 1001 E. U.S. Hwy 98, Suite 1, Calexico, CA 92231 | 2006-08-07 |
| 1083633499 | Charles Garrick Webb | Family Medicine | 801 E Birch St, Suite 2, Calexico, CA 92231 | 2006-07-18 |
| 1689691644 | Gilbert Pangilinan | Physical Therapist | 120 W Cole Rd. Ste B, Calexico, CA 92231 | 2006-07-16 |
| Find all providers in zip 92231 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306007042 | Issadora Lara | Family Medicine | 495 E Birch St, Calexico, CA 92231-2374 | 2008-06-24 |
| 1306917661 | Jaime E Estrada | Family Medicine | 1001 E. Birch St, Hwy 98, Suite 1, Calexico, CA 92231-9759 | 2006-11-10 |
| 1083633499 | Charles Garrick Webb | Family Medicine | 801 E Birch St, Suite 2, Calexico, CA 92231 | 2006-07-18 |
| 1699719708 | Scott George Bourns | Family Medicine | 223 W Cole Blvd, Calexico, CA 92231-9722 | 2006-06-16 |
| 1891753315 | Mario L Ceja | Family Medicine | 251 West Cole Boulevard, Calexico, CA 92231-9722 | 2006-05-03 |
| 1255333035 | Mervat G. Kelada | Family Medicine | 1001 Blair Ave, Calexico, CA 92231 | 2005-08-11 |
| 1386001030 | Veronica Yee Md | Family Medicine | 450 E Birch St, Calexico, CA 92231-2375 | 2016-01-26 |
| 1093952798 | Veronica Yee | Family Medicine | 450 E Birch St, Calexico, CA 92231 | 2009-01-16 |
| 1699944587 | Mervat G. Kelada, M.d. | Family Medicine | 1001 Blair Ave, Calexico, CA 92231-2308 | 2008-02-25 |
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| 1902407711 | Prohealth Partners A Medical Group | Family Medicine | 3700 Katella Ave Ste D, Los Alamitos, CA 90720-6410 | 2020-11-06 |
| 1831790112 | Universal Healthcare Services, Inc. | Family Medicine | 6025 Niles St, Bakersfield, CA 93306-4696 | 2020-11-04 |
| 1568063923 | Claude Kathy Marquis | Family Medicine | 400 S June St, Los Angeles, CA 90020-4812 | 2020-11-03 |
| 1417558842 | San Judas Tadeo Medical Group, Inc. | Family Medicine | 1000 S La Brea Ave Ste 2, Inglewood, CA 90301-3869 | 2020-11-03 |
| 1174123038 | Socal Medical Center., Inc. | Family Medicine | 1350 E Los Angeles Ave Ste 204, Simi Valley, CA 93065-2860 | 2020-10-29 |
| 1205435864 | Montana Affinity LLC | Family Medicine | 820 N Mountain Ave Ste 103, Upland, CA 91786-4163 | 2020-10-23 |
| 1861091126 | Silvia Diego Md Inc A Professional Medical Corp | Family Medicine | 1317 Oakdale Rd Ste 100, Modesto, CA 95355-3362 | 2020-10-19 |
| 1245838879 | Lalaine Talagtag Smith | Family Medicine | 919 Mariner Dr Apt C, Mountain View, CA 94043-3372 | 2020-10-15 |
| 1417554023 | Hameed A. Khan, M.d., Inc. | Family Medicine | 3655 Lomita Blvd Ste 421, Torrance, CA 90505-1934 | 2020-10-06 |
| 1073120085 | Garrison Family Medical Group Inc | Family Medicine | 41210 11th St W Ste C, Palmdale, CA 93551-1447 | 2020-09-24 |
| 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.