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: October 18, 2026.

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

About Clinica Coachella, Inc NPPES

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

CLINICA COACHELLA, INC (NPI 1063962538) is a healthcare organization registered as a clinic/center in Coachella, California and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through November 29, 2026 and lists Giovanna Baturoni, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1063962538
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCLINICA COACHELLA, INC
Location Address51544 CESAR CHAVEZ ST STE 1DCoachella, CA 92236-1504
Mailing AddressPo Box 140Coachella, CA 92236-0140 · (760) 861-1436 · Fax (760) 289-6203
Fax(760) 289-6203
Organization SubpartNo
Authorized OfficialGiovanna BaturoniOffice Manager · (760) 861-1436
Enumeration DateOctober 9, 2016
Last NPPES UpdateAugust 30, 20232 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
✔ NPI 1063962538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in CA · A977985
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).
51544 CESAR CHAVEZ ST STE 1D, Coachella, CA 92236

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinica Coachella, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Clinica Coachella, Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Family Practice
NPI 1275743932
51544 CESAR CHAVEZ ST STE 1D
Coachella, CA 92236
(760) 861-1436
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1245302579
51544 CESAR CHAVEZ ST STE 1D
Coachella, CA 92236
(760) 861-1436
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1821737057
39000 BOB HOPE DR
Rancho Mirage, CA 92270
(760) 340-3911
✔ PECOS✔ Accepts Medicare14 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 05D2122542

Clinica Coachella · Coachella, CA
Active · expires Nov 29, 2026
CLIA Number05D2122542
Laboratory TypePhysician Office
Certificate Effective DateNovember 30, 2024
Certificate Expiration DateNovember 29, 2026
Laboratory DirectorJulian J. Alfaro
Laboratory Phone(760) 861-1436
Laboratory LocationClinica Coachella51544 Cesar Chavez Street, Ste 1D, Coachella, CA 92236
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Clinica Coachella, Inc's NPI number?

The NPI number for Clinica Coachella, Inc is 1063962538. It was assigned to this organization in the NPPES registry on October 9, 2016.

Where is Clinica Coachella, Inc located?

Clinica Coachella, Inc is located at 51544 Cesar Chavez St Ste 1D, Coachella, CA 92236. The listed phone number is (760) 861-1436.

What is Clinica Coachella, Inc's specialty?

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

Is Clinica Coachella, Inc enrolled in Medicare?

Yes. Clinica Coachella, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clinica Coachella, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Clinica Coachella, Inc, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Clinica Coachella, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2122542) is associated with this NPI, valid through November 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clinica Coachella, Inc was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.