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NPI · 1790718351 · NPPES-sourced

Imperial Beach Community Clinic

ActiveCommunity Health Clinic/Center
NPI Number
1790718351
Type 2 · Organisation
Taxonomy Code
261QC1500X
Contact
(619) 429-3733
Primary practice line
Last Updated
About 16 years ago (May 2010)
Enumerated 2006-07-08
Primary practice addressCA · 91932-1503
949 Palm AvenueImperial Beach, CA 91932-1503
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About this NPIWhat this record shows.

NPI 1790718351 is registered to Imperial Beach Community Clinic, a healthcare organisation classified as "Community Health Clinic/Center" and located at 949 Palm Avenue in Imperial Beach, California. The organisation's authorised official is Constance Kirk. The organisation has been enumerated in the NPI registry since 2006.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2006-07-08
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 40CA· Issued by COUNTY MEDICAL SERVICES
  • HAP11826FCA· Issued by FAMILY PACT
  • EAP11826FCA· Issued by EAPC
  • BCP11826FCA· Issued by CDP
  • FHC11826FCA· Issued by MEDI CAL
  • 05D0683042· Issued by LABORATORY CLIA NUMBER

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part A Provider

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Imperial Beach Community Clinic accepts. To confirm in-network status with your specific health plan, contact Imperial Beach Community Clinic directly at (619) 429-3733.

Frequently asked

Yes. NPI 1790718351 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Community Health Clinic/Center is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (619) 429-3733.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Imperial Beach Community Clinic is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy261QC1500X
Last updated2010-05
Enumerated2006-07-08
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Community Health Clinic/Center providers in California.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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