LEGACY MD MEDICAL GROUP INC
NPI 1073210753
General Practice in El Centro, CA

Active since February 13, 2023CLIA Certified · 5 labs
1699 N IMPERIAL AVE, EL CENTRO, CA 92243(760) 550-1685(888) 631-5150 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 11, 2025, Jan 8, 2025, Feb 13, 2023 (3 updates tracked since 2023).

About Legacy Md Medical Group Inc NPPES

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

LEGACY MD MEDICAL GROUP INC (NPI 1073210753) is a healthcare organization registered as a general practice in El Centro, California and active in the NPI registry since February 2023. The organization holds 5 active CLIA laboratory certificates, maintains a secondary practice location in Calexico, and lists John M Strong, President, as its authorized official.

NPPES Registry Identity

NPI1073210753
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLEGACY MD MEDICAL GROUP INC
Location Address1699 N IMPERIAL AVEEl Centro, CA 92243-1320
Mailing Address1699 N Imperial AveEl Centro, CA 92243-1320 · (760) 550-1685 · Fax (888) 631-5150
Fax(888) 631-5150
Organization SubpartNo
Authorized OfficialJohn M StrongPresident · (760) 550-1685
Enumeration DateFebruary 13, 2023
Last NPPES UpdateFebruary 16, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2026
NPI 1073210753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1699 N IMPERIAL AVE, El Centro, CA 92243

Secondary Practice Location 1

Location 1222 E Cole Blvd Ste CCalexico, CA 92231-3211 · Phone (760) 550-1685

Other Identifiers 1

Other1043248719CA · Npi

CLIA Laboratory Certificates CMS CLIA 5

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 05D2299476

Legacy MD Medical Group Inc · El Centro, CA
Active · expires Feb 20, 2028
CLIA Number05D2299476
Laboratory TypePhysician Office
Certificate Effective DateFebruary 21, 2026
Certificate Expiration DateFebruary 20, 2028
Laboratory DirectorJohn M. Strong
Laboratory Phone(760) 550-1685
Laboratory LocationLegacy MD Medical Group Inc1699 North Imperial Avenue, El Centro, CA 92243
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2297310

Legacy MD Medical Group Inc · Calexico, CA
Active · expires Jan 11, 2028
CLIA Number05D2297310
Laboratory TypePhysician Office
Certificate Effective DateJanuary 12, 2026
Certificate Expiration DateJanuary 11, 2028
Laboratory DirectorJohn M. Strong
Laboratory Phone(760) 550-1685
Laboratory LocationLegacy MD Medical Group Inc222 East Cole Blvd, Suite C, Calexico, CA 92231
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 05D2078669

Legacy MD Medical Group Inc · Calexico, CA
Active · expires Jan 15, 2027
CLIA Number05D2078669
Laboratory TypePhysician Office
Certificate Effective DateJanuary 16, 2025
Certificate Expiration DateJanuary 15, 2027
Laboratory DirectorJohn M. Strong
Laboratory Phone(760) 550-1685
Laboratory LocationLegacy MD Medical Group Inc222 E Cole Blvd, Calexico, CA 92231
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 05D2299477

Legacy MD Medical Group Inc · Indio, CA
Active · expires Feb 20, 2028
CLIA Number05D2299477
Laboratory TypePhysician Office
Certificate Effective DateFebruary 21, 2026
Certificate Expiration DateFebruary 20, 2028
Laboratory DirectorTien T. Vo
Laboratory Phone(760) 550-1685
Laboratory LocationLegacy MD Medical Group Inc81812 Doctor Carreon Blvd, Suite E, Indio, CA 92201
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2324667

Legacy MD Medical Group Inc · Brawley, CA
Active · expires May 28, 2027
CLIA Number05D2324667
Laboratory TypePhysician Office
Certificate Effective DateMay 29, 2025
Certificate Expiration DateMay 28, 2027
Laboratory DirectorJohn M. Strong
Laboratory Phone(760) 550-1685
Laboratory LocationLegacy MD Medical Group Inc290 Main St, Brawley, CA 92227
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Primary Care)
1699 N IMPERIAL AVE
EL CENTRO, CA 92243
Family Medicine
1699 N IMPERIAL AVE
EL CENTRO, CA 92243
Nurse Practitioner (Family)
1699 N IMPERIAL AVE
EL CENTRO, CA 92243
Psychiatry & Neurology (Psychiatry)
1699 N IMPERIAL AVE
EL CENTRO, CA 92243
Registered Nurse (Cardiac Rehabilitation)
1699 N IMPERIAL AVE
EL CENTRO, CA 92243
Clinic/Center (Urgent Care)
1699 N IMPERIAL AVE
EL CENTRO, CA 92243
Hospitalist
1699 N IMPERIAL AVE
EL CENTRO, CA 92243
Internal Medicine
1699 N IMPERIAL AVE
EL CENTRO, CA 92243

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 Legacy MD Medical Group Inc's NPI number?

The NPI number for Legacy MD Medical Group Inc is 1073210753. It was assigned to this organization in the NPPES registry on February 13, 2023.

Where is Legacy MD Medical Group Inc located?

Legacy MD Medical Group Inc is located at 1699 N Imperial Ave, El Centro, CA 92243. The listed phone number is (760) 550-1685.

What is Legacy MD Medical Group Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Legacy MD Medical Group Inc hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Legacy MD Medical Group Inc was last updated on February 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.