Imperial Valley Family Care Medical Group Apc - Medicare Primary Care in Imperial, CA

Imperial Valley Family Care Medical Group Apc is a medicare enrolled primary clinic (General Practice) in Imperial, California. The current practice location for Imperial Valley Family Care Medical Group Apc is 516 West Aten Road, Suite 2, Imperial, California. For appointments, you can reach them via phone at (760) 355-7730. The mailing address for Imperial Valley Family Care Medical Group Apc is 516 West Aten Road, Suite 2, Imperial, California and phone number is (760) 355-7730.

Imperial Valley Family Care Medical Group Apc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1275581894. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (760) 355-7730.

Contact Information

Imperial Valley Family Care Medical Group Apc
516 West Aten Road
Suite 2
Imperial
CA 92251
(760) 355-7730
(760) 355-7731

Map and Direction


Primary Care Clinic Profile

Full NameImperial Valley Family Care Medical Group Apc
SpecialityGeneral Practice
Location516 West Aten Road, Imperial, California
Authorized Official Name and PositionVachaspathi Palakodeti (PRESIDENT)
Authorized Official Contact7603558300
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice 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 Details:

NPI Number1275581894
Provider Enumeration Date05/05/2006
Last Update Date10/29/2007

Medicare PECOS Information:

Medicare PECOS PAC ID0446243083
Medicare Enrollment IDO20040407001358

Medical Identifiers

Medical identifiers for Imperial Valley Family Care Medical Group Apc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275581894NPI-NPPES
GR0066318MedicaidCA
GR0066313MedicaidCA
GR0066310MedicaidCA
GR0066312MedicaidCA
CC6635OtherCARAILROAD GROUP #
GR0066315MedicaidCA
GR0066316MedicaidCA
GR0066314MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Imperial Valley Family Care Medical Group Apc acts as a billing entity for following providers:
Provider NameSunny R Richley
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1588608475
PECOS PAC ID: 3072413921
Enrollment ID: I20040108001234
Provider NameSam Baradarian
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1588646103
PECOS PAC ID: 3072507078
Enrollment ID: I20040413000449
Provider NameHarold C Barnes
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1487627212
PECOS PAC ID: 9739155664
Enrollment ID: I20040902000605
Provider NameElias N Moukarzel
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1205912847
PECOS PAC ID: 4880645910
Enrollment ID: I20050207000540
Provider NameLouis J Katzman
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1194835058
PECOS PAC ID: 8527014166
Enrollment ID: I20050325000570
Provider NameMitzi Gragson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992887459
PECOS PAC ID: 3678520863
Enrollment ID: I20050330001259
Provider NameLucian Oprea
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033329792
PECOS PAC ID: 2466477013
Enrollment ID: I20051012000666
Provider NameHanh Bui
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1275519175
PECOS PAC ID: 7517986912
Enrollment ID: I20051115000694
Provider NameEdna R Esquer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952310898
PECOS PAC ID: 7315036126
Enrollment ID: I20071201000205
Provider NameJaime E Estrada
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306917661
PECOS PAC ID: 8224127030
Enrollment ID: I20071201000208
Provider NamePatrick Wolcott
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1891722120
PECOS PAC ID: 1355394388
Enrollment ID: I20090120000182
Provider NameAlidad M Zadeh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013154400
PECOS PAC ID: 7214093079
Enrollment ID: I20090303000044
Provider NameVachaspathi Palakodeti
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1649224387
PECOS PAC ID: 1355334905
Enrollment ID: I20090522000242
Provider NameBhuwan Sharma
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528096534
PECOS PAC ID: 3779636360
Enrollment ID: I20091211000503
Provider NameLuis Castellanos
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1013059286
PECOS PAC ID: 2163562257
Enrollment ID: I20091222000151
Provider NameThomas Teske
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1447259965
PECOS PAC ID: 6709072358
Enrollment ID: I20101122001385
Provider NameSol Reisin
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1700844222
PECOS PAC ID: 4385637933
Enrollment ID: I20110228000356
Provider NameJorge F Robles
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366517716
PECOS PAC ID: 1355367590
Enrollment ID: I20110808000275
Provider NameUnnati Sampat
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699976415
PECOS PAC ID: 9436329471
Enrollment ID: I20110830000144
Provider NameHussein El-newihi
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1275580698
PECOS PAC ID: 6709879356
Enrollment ID: I20120112000654
Provider NameRamon G. Rodriguez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326075292
PECOS PAC ID: 3173545753
Enrollment ID: I20120206000374
Provider NameLorenzo H Suarez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619935137
PECOS PAC ID: 4486647039
Enrollment ID: I20120215000249
Provider NameRichard M Fitzsimmons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275550709
PECOS PAC ID: 0749448546
Enrollment ID: I20120224000679
Provider NameMichael Abel Chang
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1114155488
PECOS PAC ID: 0840453718
Enrollment ID: I20120514000374
Provider NameDerek H Loewy
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1457635963
PECOS PAC ID: 0749226405
Enrollment ID: I20120522001262
Provider NameYong Tan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083771489
PECOS PAC ID: 6507029766
Enrollment ID: I20120525000343
Provider NameHector Barajas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831494368
PECOS PAC ID: 2163688805
Enrollment ID: I20120724000506
Provider NameJorge Emanuelle Silva Enciso
Provider TypePractitioner - Advanced Heart Failure And Transplant Cardiology
Provider IdentifiersNPI Number: 1639404031
PECOS PAC ID: 2163671967
Enrollment ID: I20121011000755
Provider NameAmanda Cuellar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275813560
PECOS PAC ID: 1658524624
Enrollment ID: I20121227000327
Provider NameWelim S Azinge
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093036543
PECOS PAC ID: 2264667989
Enrollment ID: I20131104001286
Provider NameVictoria Wheaton Young
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427311323
PECOS PAC ID: 4880821206
Enrollment ID: I20131210001931
Provider NameReza Elahimehr
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1750677522
PECOS PAC ID: 1456521319
Enrollment ID: I20140409000690
Provider NameAnas A Alani
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1154633709
PECOS PAC ID: 6800019589
Enrollment ID: I20140527001939
Provider NameAnna D Narezkina
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1891958773
PECOS PAC ID: 7719104355
Enrollment ID: I20140806000001
Provider NameGeorge S Zamora
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467860734
PECOS PAC ID: 5496977852
Enrollment ID: I20141119001781
Provider NameAimee Gonzalez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902830060
PECOS PAC ID: 7517967250
Enrollment ID: I20150325002453
Provider NameMohsen El Ramah
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346427861
PECOS PAC ID: 3971782590
Enrollment ID: I20150327001064
Provider NameJose Navarro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710371794
PECOS PAC ID: 0749500478
Enrollment ID: I20150521000094
Provider NamePedro Colio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801267794
PECOS PAC ID: 6002113834
Enrollment ID: I20160322002637
Provider NameFarshad Raissi Shabari
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1124295027
PECOS PAC ID: 9133280183
Enrollment ID: I20160712002628
Provider NameJessica C Ruiz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801267083
PECOS PAC ID: 2264726827
Enrollment ID: I20160805000177
Provider NameJayme Storms
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083078547
PECOS PAC ID: 5092001784
Enrollment ID: I20160906002404
Provider NameAvelina T Ramirez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043612013
PECOS PAC ID: 0042507824
Enrollment ID: I20160921002719
Provider NameOscar Chavez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063880524
PECOS PAC ID: 9638467897
Enrollment ID: I20161004002286
Provider NameLeticia Bustamante
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609058924
PECOS PAC ID: 6406134402
Enrollment ID: I20161026001179
Provider NameLuisa Jeanne Kenny
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215305453
PECOS PAC ID: 0244510121
Enrollment ID: I20161212000952
Provider NameRakesh Malhotra
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1326346818
PECOS PAC ID: 3577849819
Enrollment ID: I20170420002532
Provider NameMarcus Anthony Urey
Provider TypePractitioner - Advanced Heart Failure And Transplant Cardiology
Provider IdentifiersNPI Number: 1972820058
PECOS PAC ID: 8224287370
Enrollment ID: I20170802001380
Provider NamePatricia Romero
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427584226
PECOS PAC ID: 8921379306
Enrollment ID: I20170803000283
Provider NameRasoul Montazeri
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1992068191
PECOS PAC ID: 1557587169
Enrollment ID: I20170809001515
Provider NameIda S Obeso-martinez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831629252
PECOS PAC ID: 3072886464
Enrollment ID: I20170906003969
Provider NameJohn Allen Friedline
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447311261
PECOS PAC ID: 8628011442
Enrollment ID: I20170912000730
Provider NameCristina Crankshaw
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184158255
PECOS PAC ID: 1456627843
Enrollment ID: I20171031001034
Provider NameDaniel Samano
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003263963
PECOS PAC ID: 6608133111
Enrollment ID: I20180105001399
Provider NameRoman Sapozhnikov
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1558672535
PECOS PAC ID: 3870778566
Enrollment ID: I20180530001481
Provider NameElana Godebu
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1609189224
PECOS PAC ID: 6002194347
Enrollment ID: I20180919002549
Provider NameDavid Torres Barba
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1447612676
PECOS PAC ID: 3971864315
Enrollment ID: I20190205002270
Provider NameRhonda V Dessert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649763665
PECOS PAC ID: 3072867225
Enrollment ID: I20190729002285
Provider NameHank Curtis Hill
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1063497097
PECOS PAC ID: 5294794806
Enrollment ID: I20191206001114
Provider NameAbraham A Vandiver
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982176947
PECOS PAC ID: 2860826062
Enrollment ID: I20191220002460
Provider NameAlejandra Bonilla-rojas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669019618
PECOS PAC ID: 6901232941
Enrollment ID: I20200211000295
Provider NameKeri D Valdez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417590548
PECOS PAC ID: 0547681769
Enrollment ID: I20200526001932
Provider NameGabriel Hernandez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164043782
PECOS PAC ID: 8224450481
Enrollment ID: I20200617002294
Provider NameJose A Zepeda
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407218936
PECOS PAC ID: 5193083517
Enrollment ID: I20210426000771
Provider NamePatricia J Castaneda
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619517166
PECOS PAC ID: 2466853221
Enrollment ID: I20210630002253
Provider NameLisa Rosa-re
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336244896
PECOS PAC ID: 1557369949
Enrollment ID: I20211006001003
Provider NameEmmanuel O. Munoz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710366489
PECOS PAC ID: 9032501069
Enrollment ID: I20220124002545
Provider NameJohnnie R Cyr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720673890
PECOS PAC ID: 4587044169
Enrollment ID: I20220629003027
Provider NameJose Cruz Rodriguez
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1457770240
PECOS PAC ID: 1951523455
Enrollment ID: I20220721001842
Provider NameJessica J Iten
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538752431
PECOS PAC ID: 0547646671
Enrollment ID: I20220927003167
Provider NameWendy B Buzo Perez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518696319
PECOS PAC ID: 6406232883
Enrollment ID: I20221008000437
Provider NameChristina Ferrel Noriega
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164009742
PECOS PAC ID: 5698174019
Enrollment ID: I20221020000896
Provider NameJoanna L Vazquez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093440828
PECOS PAC ID: 4385011899
Enrollment ID: I20221111001768
Provider NameAna Palafox-mendez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255033510
PECOS PAC ID: 3072978915
Enrollment ID: I20230428001939
Provider NameAlheli Arce Gastelum
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164909735
PECOS PAC ID: 8527310929
Enrollment ID: I20231030000483
Provider NameIliana Gomez-ramirez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265183024
PECOS PAC ID: 8123476777
Enrollment ID: I20231121001414

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.