CLINICA COACHELLA, INC
NPI 1063962538
Clinic/Center in Coachella, CA

Active since October 09, 2016CLIA 05D2122542 · Waiver
51544 CESAR CHAVEZ ST STE 1D, COACHELLA, CA 92236(760) 861-1436(760) 289-6203 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 30, 2023, Sep 16, 2022 (2 updates tracked since 2022).

  • Organization
  • Clinic/Center
  • CLIA Number: 05D2122542
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-29-2026

About CLINICA COACHELLA, INC

This page provides the complete NPI Profile along with additional information for Clinica Coachella, Inc, a provider established in Coachella, California operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1063962538 assigned on October 2016. The practitioner's primary taxonomy code is 261Q00000X with license number A977985 (CA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Giovanna Baturoni (Office Manager)

NPI
1063962538 Verify this NPI
Provider Name
CLINICA COACHELLA, INC
Entity Type
Organization
Location Address
51544 CESAR CHAVEZ ST STE 1D COACHELLA, CA 92236
Location Phone
(760) 861-1436
Location Fax
(760) 289-6203
Mailing Address
PO BOX 140 COACHELLA, CA 92236
Mailing Phone
(760) 861-1436
Mailing Fax
(760) 289-6203
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-09-2016
Last Update Date
08-30-2023
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
A977985
License State
CA
Taxonomy Description
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).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GIOVANNA BATURONI

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(760) 861-1436

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2122542
Facility Type
Physician Office
Certificate Effective Date
November 30, 2024
Certificate Expiration Date
November 29, 2026
Laboratory Director
JULIAN J. ALFARO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Clinica Coachella, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CLINICA COACHELLA, INC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Family Medicine
51544 CESAR CHAVEZ ST STE 1D
COACHELLA, CA 92236
Nurse Practitioner
51544 CESAR CHAVEZ ST STE 1D
COACHELLA, CA 92236

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063962538, enumerated as an "organization" on October 09, 2016.

The provider is located at 51544 CESAR CHAVEZ ST STE 1D COACHELLA, CA 92236 and the phone number is (760) 861-1436.

Clinic/Center with taxonomy code 261Q00000X.