IMPERIAL VALLEY MEDICAL CLINIC (NPI# 1306197231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306197231 |
| Entity Type | Organization |
| Organization Name | IMPERIAL VALLEY MEDICAL CLINIC |
| Other Organization Name | MEDICAL TREATMENT CENTER |
| Practice Address |
680 W Main St El Centro CA 92243-2920 |
| Practice Telephone | 7604820864 |
| Practice Fax Number | 7604829185 |
| Mailing Telephone | 7604820864 |
| Mailing Fax Number | 7604829185 |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |
| Authorized Official Name | MRS. NORMA M APODACA (EXECUTIVE PROGRAM DIRECTOR) |
| Authorized Official Telephone | 7604820864 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 13-04 | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Medical Treatment Center | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629409487 | Imperial Valley Medical Clinic | Exclusive Provider Organization | 680 W Main St, El Centro, CA 92243-2920 | 2013-12-04 |
| 1003243668 | Imperial Valley Medical Clinic | Clinic/Center | 535 Cesar Chavez Blvd, Calexico, CA 92231-2103 | 2013-09-27 |
| Street Address |
680 W MAIN ST |
| City | EL CENTRO |
| State | CA |
| Zip Code | 92243-2920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356758783 | Olga Cristina Vega | Counselor | 680 W Main St, El Centro, CA 92243-2920 | 2014-07-17 |
| 1871917203 | Janet Gschwend | Counselor | 680 W Main St, El Centro, CA 92243-2920 | 2014-02-05 |
| 1629409487 | Imperial Valley Medical Clinic | Exclusive Provider Organization | 680 W Main St, El Centro, CA 92243-2920 | 2013-12-04 |
| 1295089993 | Maria Del Carmen Amezcua | Counselor | 680 W Main St, El Centro, CA 92243-2920 | 2012-11-01 |
| 1619231172 | Medical Treatment Center | Substance Abuse Rehabilitation Facility | 680 W Main St, El Centro, CA 92243-2920 | 2012-06-29 |
| 1265736656 | Medical Treatment Center | Rehabilitation Hospital | 680 W Main St, El Centro, CA 92243-2920 | 2010-12-29 |
| 1679806806 | Eduardo Madrid Duran | Counselor | 680 W Main St, El Centro, CA 92243-2920 | 2009-09-04 |
| 1649409343 | Medical Treatment Center | Clinic/Center | 680 W Main St, El Centro, CA 92243-2920 | 2009-07-02 |
| 1952539652 | Carlos Guzman | Counselor | 680 W Main St, El Centro, CA 92243-2920 | 2009-07-01 |
| 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 | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508409004 | Foundations In Recovery, Inc. | Substance Abuse Rehabilitation Facility | 1679 Adams Ave, El Centro, CA 92243-1903 | 2019-10-28 |
| 1396388377 | Foundations In Recovery, Inc. | Substance Abuse Rehabilitation Facility | 1687 Southwind Dr, El Centro, CA 92243-4135 | 2019-10-23 |
| 1548464217 | Volunteers of America Southwes California | Substance Abuse Rehabilitation Facility | 1331 S Clark Rd, El Centro, CA 92243-9516 | 2007-06-14 |
| 1295938538 | Imperial Valley Drug & Rehab Clinic | Substance Abuse Rehabilitation Facility | 1600 S Imperial Ave Ste 7, El Centro, CA 92243-4242 | 2007-06-06 |
| 1619231172 | Medical Treatment Center | Substance Abuse Rehabilitation Facility | 680 W Main St, El Centro, CA 92243-2920 | 2012-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497359 | California Care Detox & Treatment | Substance Abuse Rehabilitation Facility | 25542 Dana Mesa Dr, San Juan Capistrano, CA 92675-4311 | 2020-11-02 |
| 1952900797 | A Sacred Path | Substance Abuse Rehabilitation Facility | 5671 Spanish Flat Rd, Garden Valley, CA 95633 | 2020-10-22 |
| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
| 1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
| 1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
| 1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
| 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.