Imperial Valley Family Care Medical Group Apc | |
516 West Aten Road Suite 2 Imperial CA 92251 | |
(760) 355-7730 | |
(760) 355-7731 |
Full Name | Imperial Valley Family Care Medical Group Apc |
---|---|
Speciality | General Practice |
Location | 516 West Aten Road, Imperial, California |
Authorized Official Name and Position | Vachaspathi Palakodeti (PRESIDENT) |
Authorized Official Contact | 7603558300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Imperial Valley Family Care Medical Group Apc 516 West Aten Road Suite 2 Imperial CA 92251 Ph: (760) 355-7730 | Imperial Valley Family Care Medical Group Apc 516 West Aten Road Suite 2 Imperial CA 92251 Ph: (760) 355-7730 |
NPI Number | 1275581894 |
---|---|
Provider Enumeration Date | 05/05/2006 |
Last Update Date | 10/29/2007 |
Medicare PECOS PAC ID | 0446243083 |
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Medicare Enrollment ID | O20040407001358 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275581894 | NPI | - | NPPES |
GR0066318 | Medicaid | CA | |
GR0066313 | Medicaid | CA | |
GR0066310 | Medicaid | CA | |
GR0066312 | Medicaid | CA | |
CC6635 | Other | CA | RAILROAD GROUP # |
GR0066315 | Medicaid | CA | |
GR0066316 | Medicaid | CA | |
GR0066314 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Sunny R Richley |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1588608475 PECOS PAC ID: 3072413921 Enrollment ID: I20040108001234 |
Provider Name | Sam Baradarian |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1588646103 PECOS PAC ID: 3072507078 Enrollment ID: I20040413000449 |
Provider Name | Harold C Barnes |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1487627212 PECOS PAC ID: 9739155664 Enrollment ID: I20040902000605 |
Provider Name | Elias N Moukarzel |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1205912847 PECOS PAC ID: 4880645910 Enrollment ID: I20050207000540 |
Provider Name | Louis J Katzman |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1194835058 PECOS PAC ID: 8527014166 Enrollment ID: I20050325000570 |
Provider Name | Mitzi Gragson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992887459 PECOS PAC ID: 3678520863 Enrollment ID: I20050330001259 |
Provider Name | Lucian Oprea |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033329792 PECOS PAC ID: 2466477013 Enrollment ID: I20051012000666 |
Provider Name | Hanh Bui |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1275519175 PECOS PAC ID: 7517986912 Enrollment ID: I20051115000694 |
Provider Name | Edna R Esquer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952310898 PECOS PAC ID: 7315036126 Enrollment ID: I20071201000205 |
Provider Name | Jaime E Estrada |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306917661 PECOS PAC ID: 8224127030 Enrollment ID: I20071201000208 |
Provider Name | Patrick Wolcott |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1891722120 PECOS PAC ID: 1355394388 Enrollment ID: I20090120000182 |
Provider Name | Alidad M Zadeh |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013154400 PECOS PAC ID: 7214093079 Enrollment ID: I20090303000044 |
Provider Name | Vachaspathi Palakodeti |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1649224387 PECOS PAC ID: 1355334905 Enrollment ID: I20090522000242 |
Provider Name | Bhuwan Sharma |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528096534 PECOS PAC ID: 3779636360 Enrollment ID: I20091211000503 |
Provider Name | Luis Castellanos |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1013059286 PECOS PAC ID: 2163562257 Enrollment ID: I20091222000151 |
Provider Name | Thomas Teske |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1447259965 PECOS PAC ID: 6709072358 Enrollment ID: I20101122001385 |
Provider Name | Sol Reisin |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1700844222 PECOS PAC ID: 4385637933 Enrollment ID: I20110228000356 |
Provider Name | Jorge F Robles |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366517716 PECOS PAC ID: 1355367590 Enrollment ID: I20110808000275 |
Provider Name | Unnati Sampat |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699976415 PECOS PAC ID: 9436329471 Enrollment ID: I20110830000144 |
Provider Name | Hussein El-newihi |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1275580698 PECOS PAC ID: 6709879356 Enrollment ID: I20120112000654 |
Provider Name | Ramon G. Rodriguez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326075292 PECOS PAC ID: 3173545753 Enrollment ID: I20120206000374 |
Provider Name | Lorenzo H Suarez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619935137 PECOS PAC ID: 4486647039 Enrollment ID: I20120215000249 |
Provider Name | Richard M Fitzsimmons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275550709 PECOS PAC ID: 0749448546 Enrollment ID: I20120224000679 |
Provider Name | Michael Abel Chang |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1114155488 PECOS PAC ID: 0840453718 Enrollment ID: I20120514000374 |
Provider Name | Derek H Loewy |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1457635963 PECOS PAC ID: 0749226405 Enrollment ID: I20120522001262 |
Provider Name | Yong Tan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083771489 PECOS PAC ID: 6507029766 Enrollment ID: I20120525000343 |
Provider Name | Hector Barajas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831494368 PECOS PAC ID: 2163688805 Enrollment ID: I20120724000506 |
Provider Name | Jorge Emanuelle Silva Enciso |
---|---|
Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
Provider Identifiers | NPI Number: 1639404031 PECOS PAC ID: 2163671967 Enrollment ID: I20121011000755 |
Provider Name | Amanda Cuellar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275813560 PECOS PAC ID: 1658524624 Enrollment ID: I20121227000327 |
Provider Name | Welim S Azinge |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093036543 PECOS PAC ID: 2264667989 Enrollment ID: I20131104001286 |
Provider Name | Victoria Wheaton Young |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427311323 PECOS PAC ID: 4880821206 Enrollment ID: I20131210001931 |
Provider Name | Reza Elahimehr |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1750677522 PECOS PAC ID: 1456521319 Enrollment ID: I20140409000690 |
Provider Name | Anas A Alani |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1154633709 PECOS PAC ID: 6800019589 Enrollment ID: I20140527001939 |
Provider Name | Anna D Narezkina |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1891958773 PECOS PAC ID: 7719104355 Enrollment ID: I20140806000001 |
Provider Name | George S Zamora |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467860734 PECOS PAC ID: 5496977852 Enrollment ID: I20141119001781 |
Provider Name | Aimee Gonzalez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902830060 PECOS PAC ID: 7517967250 Enrollment ID: I20150325002453 |
Provider Name | Mohsen El Ramah |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346427861 PECOS PAC ID: 3971782590 Enrollment ID: I20150327001064 |
Provider Name | Jose Navarro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710371794 PECOS PAC ID: 0749500478 Enrollment ID: I20150521000094 |
Provider Name | Pedro Colio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801267794 PECOS PAC ID: 6002113834 Enrollment ID: I20160322002637 |
Provider Name | Farshad Raissi Shabari |
---|---|
Provider Type | Practitioner - Cardiac Electrophysiology |
Provider Identifiers | NPI Number: 1124295027 PECOS PAC ID: 9133280183 Enrollment ID: I20160712002628 |
Provider Name | Jessica C Ruiz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801267083 PECOS PAC ID: 2264726827 Enrollment ID: I20160805000177 |
Provider Name | Jayme Storms |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083078547 PECOS PAC ID: 5092001784 Enrollment ID: I20160906002404 |
Provider Name | Avelina T Ramirez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043612013 PECOS PAC ID: 0042507824 Enrollment ID: I20160921002719 |
Provider Name | Oscar Chavez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063880524 PECOS PAC ID: 9638467897 Enrollment ID: I20161004002286 |
Provider Name | Leticia Bustamante |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609058924 PECOS PAC ID: 6406134402 Enrollment ID: I20161026001179 |
Provider Name | Luisa Jeanne Kenny |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215305453 PECOS PAC ID: 0244510121 Enrollment ID: I20161212000952 |
Provider Name | Rakesh Malhotra |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1326346818 PECOS PAC ID: 3577849819 Enrollment ID: I20170420002532 |
Provider Name | Marcus Anthony Urey |
---|---|
Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
Provider Identifiers | NPI Number: 1972820058 PECOS PAC ID: 8224287370 Enrollment ID: I20170802001380 |
Provider Name | Patricia Romero |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427584226 PECOS PAC ID: 8921379306 Enrollment ID: I20170803000283 |
Provider Name | Rasoul Montazeri |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1992068191 PECOS PAC ID: 1557587169 Enrollment ID: I20170809001515 |
Provider Name | Ida S Obeso-martinez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831629252 PECOS PAC ID: 3072886464 Enrollment ID: I20170906003969 |
Provider Name | John Allen Friedline |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447311261 PECOS PAC ID: 8628011442 Enrollment ID: I20170912000730 |
Provider Name | Cristina Crankshaw |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184158255 PECOS PAC ID: 1456627843 Enrollment ID: I20171031001034 |
Provider Name | Daniel Samano |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003263963 PECOS PAC ID: 6608133111 Enrollment ID: I20180105001399 |
Provider Name | Roman Sapozhnikov |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558672535 PECOS PAC ID: 3870778566 Enrollment ID: I20180530001481 |
Provider Name | Elana Godebu |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1609189224 PECOS PAC ID: 6002194347 Enrollment ID: I20180919002549 |
Provider Name | David Torres Barba |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1447612676 PECOS PAC ID: 3971864315 Enrollment ID: I20190205002270 |
Provider Name | Rhonda V Dessert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649763665 PECOS PAC ID: 3072867225 Enrollment ID: I20190729002285 |
Provider Name | Hank Curtis Hill |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1063497097 PECOS PAC ID: 5294794806 Enrollment ID: I20191206001114 |
Provider Name | Abraham A Vandiver |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982176947 PECOS PAC ID: 2860826062 Enrollment ID: I20191220002460 |
Provider Name | Alejandra Bonilla-rojas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669019618 PECOS PAC ID: 6901232941 Enrollment ID: I20200211000295 |
Provider Name | Keri D Valdez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417590548 PECOS PAC ID: 0547681769 Enrollment ID: I20200526001932 |
Provider Name | Gabriel Hernandez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164043782 PECOS PAC ID: 8224450481 Enrollment ID: I20200617002294 |
Provider Name | Jose A Zepeda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407218936 PECOS PAC ID: 5193083517 Enrollment ID: I20210426000771 |
Provider Name | Patricia J Castaneda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619517166 PECOS PAC ID: 2466853221 Enrollment ID: I20210630002253 |
Provider Name | Lisa Rosa-re |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336244896 PECOS PAC ID: 1557369949 Enrollment ID: I20211006001003 |
Provider Name | Emmanuel O. Munoz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710366489 PECOS PAC ID: 9032501069 Enrollment ID: I20220124002545 |
Provider Name | Johnnie R Cyr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720673890 PECOS PAC ID: 4587044169 Enrollment ID: I20220629003027 |
Provider Name | Jose Cruz Rodriguez |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1457770240 PECOS PAC ID: 1951523455 Enrollment ID: I20220721001842 |
Provider Name | Jessica J Iten |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538752431 PECOS PAC ID: 0547646671 Enrollment ID: I20220927003167 |
Provider Name | Wendy B Buzo Perez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518696319 PECOS PAC ID: 6406232883 Enrollment ID: I20221008000437 |
Provider Name | Christina Ferrel Noriega |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164009742 PECOS PAC ID: 5698174019 Enrollment ID: I20221020000896 |
Provider Name | Joanna L Vazquez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093440828 PECOS PAC ID: 4385011899 Enrollment ID: I20221111001768 |
Provider Name | Ana Palafox-mendez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255033510 PECOS PAC ID: 3072978915 Enrollment ID: I20230428001939 |
Provider Name | Alheli Arce Gastelum |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164909735 PECOS PAC ID: 8527310929 Enrollment ID: I20231030000483 |
Provider Name | Iliana Gomez-ramirez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265183024 PECOS PAC ID: 8123476777 Enrollment ID: I20231121001414 |
Manzana Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2410 Commerce Trl, Imperial, CA 92251 Phone: 760-332-8688 | |
Mervat Kelada M.d. A Medical Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 E Barioni Blvd Ste A, Imperial, CA 92251 Phone: 760-355-2999 Fax: 760-355-4150 | |
Mari Carlo Manzana, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2410 Commerce Trl, Imperial, CA 92251 Phone: 661-714-1560 | |
Mervat Kelada M D A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 207 E Barioni Blvd, Imperial, CA 92251 Phone: 760-355-2999 Fax: 760-355-4150 | |
Centerpoint Medical Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 388 W Aten Rd Ste D, Imperial, CA 92251 Phone: 760-545-0411 |