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NESTOR COMMUNITY HEALTH CENTER
NPI 1215246996
Clinic/Center - Community Health in San Diego, CA

Active since September 29, 2010CLIA 05D2023199 · Microscopy
1016 OUTER RD, SAN DIEGO, CA 92154(619) 429-3733(619) 429-6457 Get Directions Write a Review

NPPES record last updated: September 29, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nestor Community Health Center NPPES

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

NESTOR COMMUNITY HEALTH CENTER (NPI 1215246996) is a healthcare organization registered as a community health in San Diego, California and active in the NPI registry since September 2010. The organization holds a CLIA Microscopy certificate valid through April 17, 2027 and lists Constance Kirk, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1215246996
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameIMPERIAL BEACH COMMUNITY CLINIC
Location Address1016 OUTER RDSan Diego, CA 92154-1351
Mailing AddressPo Box 459Imperial Beach, CA 91933-0459 · (619) 429-3733 · Fax (619) 429-6457
Phone(619) 429-3733
Fax(619) 429-6457
Organization SubpartYes
Authorized OfficialConstance KirkExecutive Director · (619) 429-5387
Enumeration DateSeptember 29, 2010
✔ NPI 1215246996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
1016 OUTER RD, San Diego, CA 92154
Open in Google Maps ↗

Other Names 1

Doing Business AsNestor Community Health Center

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 for Provider-Performed Microscopy Procedures (PPMP) 05D2023199

Nestor Community Health Center · San Diego, CA
Active · expires Apr 17, 2027
CLIA Number05D2023199
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 18, 2025
Certificate Expiration DateApril 17, 2027
Laboratory DirectorCourtney Summers-Day
Laboratory Phone(619) 429-3733
Laboratory LocationNestor Community Health Center1016 Outer Road, San Diego, CA 92154
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 10

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

COURTNEY SUMMERS-DAY MD
Family Medicine
1016 OUTER RD
SAN DIEGO, CA 92154
San Diego County (619) 429-3733
KATILYNN WYATT POPE FNP-C
Nurse Practitioner (Family)
1016 OUTER RD
SAN DIEGO, CA 92154
San Diego County (619) 429-3733
MAYRA ALEJANDRA CARRANZA MSW
Social Worker (Clinical)
1016 OUTER RD
SAN DIEGO, CA 92154
San Diego County (619) 429-3733
CAROLYN MOSS MARTINEZ FNP
Nurse Practitioner (Family)
1016 OUTER RD
SAN DIEGO, CA 92154
San Diego County (619) 429-3733
BENJAMIN ADAM VAN PRATT LEVIN MD
Family Medicine
1016 OUTER RD
SAN DIEGO, CA 92154
San Diego County (619) 429-3733
MS. L JOANNE MOONEY CNM
Advanced Practice Midwife
1016 OUTER RD
SAN DIEGO, CA 92154
San Diego County (619) 429-3733
DR. DAVID ANDRES CASTRO D.C.
Chiropractor
1016 OUTER RD
SAN DIEGO, CA 92154
San Diego County (619) 429-3733
EMILY WOOLSEY NP
Nurse Practitioner (Psychiatric/Mental Health)
1016 OUTER RD
SAN DIEGO, CA 92154
San Diego County (619) 429-3733

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 Beach Community Clinic's NPI number?

The NPI number for Imperial Beach Community Clinic is 1215246996. It was assigned to this organization in the NPPES registry on September 29, 2010. The provider is doing business as Nestor Community Health Center.

Where is Imperial Beach Community Clinic located?

Imperial Beach Community Clinic is located at 1016 Outer Rd, San Diego, CA 92154. The listed phone number is (619) 429-3733.

What is Imperial Beach Community Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Does Imperial Beach Community Clinic hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2023199) is associated with this NPI, valid through April 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 Beach Community Clinic was last updated on September 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.