IMPERIAL COUNTY PHYSICIANS MEDICAL GROUP CLINIC
NPI 1013516624
Clinic/Center in El Centro, CA

Q: What is Imperial County Physicians Medical Group Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since October 23, 2020CLIA 05D2214077 · Waiver

1503 N IMPERIAL AVE STE 105A, EL CENTRO, CA 92243(760) 290-4297 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 18, 2025, Oct 23, 2020 (2 updates tracked since 2020).

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About Imperial County Physicians Medical Group Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMPERIAL COUNTY PHYSICIANS MEDICAL GROUP CLINIC (NPI 1013516624) is a healthcare organization registered as a clinic/center in El Centro, California and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through February 17, 2027 and lists Majid Mani, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013516624

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameIMPERIAL COUNTY PHYSICIANS MEDICAL GROUP CLINIC

Location Address1503 N IMPERIAL AVE STE 105AEl Centro, CA 92243-6302

Mailing Address1503 N Imperial Ave Ste 105aEl Centro, CA 92243-6302 · (760) 290-4297

Phone(760) 290-4297

Organization SubpartNo

Authorized OfficialMajid ManiCeo · (760) 352-7755

Enumeration DateOctober 23, 2020

Last NPPES UpdateFebruary 18, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 18, 2025

✔ NPI 1013516624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

1503 N IMPERIAL AVE STE 105A, El Centro, CA 92243

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2214077

Imperial County Physicians Medical Group Clinic · El Centro, CA

Active · expires Feb 17, 2027

CLIA Number05D2214077

Laboratory TypePhysician Office

Certificate Effective DateFebruary 18, 2025

Certificate Expiration DateFebruary 17, 2027

Laboratory DirectorClara P. Spence

Laboratory Phone(442) 231-8915

Laboratory LocationImperial County Physicians Medical Group Clinic1503 North Imperial Avenue Suite 105A, El Centro, CA 92243

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EVELYNA DANIELA MONTANO

Nurse Practitioner (Primary Care)

1503 N IMPERIAL AVE STE 105A
EL CENTRO, CA 92243

Imperial County (760) 693-5372

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Imperial County Physicians Medical Group Clinic's NPI number?

The NPI number for Imperial County Physicians Medical Group Clinic is 1013516624. It was assigned to this organization in the NPPES registry on October 23, 2020.

Where is Imperial County Physicians Medical Group Clinic located?

Imperial County Physicians Medical Group Clinic is located at 1503 N Imperial Ave Ste 105A, El Centro, CA 92243. The listed phone number is (760) 290-4297.

What is Imperial County Physicians Medical Group Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Imperial County Physicians Medical Group Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2214077) is associated with this NPI, valid through February 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Imperial County Physicians Medical Group Clinic was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.