IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP – NPI #1376820159
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP is a provider located in EL CENTRO, CA. NPPES has assigned the NPI number 1376820159 to IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP on November 08, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP below.

NPI Profile for
IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP

NPI Number
1376820159
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP
Primary location
1520 SOUTH IMPERIAL AVENUE
EL CENTRO, CA 92243
Phone: (760) 592-4586 Fax: (760) 545-0252
Mailing address
516 WEST ATEN ROAD SUITE 2
IMPERIAL, CA 92251
Phone: (760) 355-7730 Fax: (760) 355-7731
Organization Subpart
No
Authorized Official
VACHASPATHI PALAKODETI
PRESIDENT
Phone: (760) 355-7730
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.