IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP
NPI 1376820159
General Practice in El Centro, CA

NPI Status: Active since November 08, 2011

Contact Information

1520 SOUTH IMPERIAL AVENUE
EL CENTRO, CA
ZIP 92243
Phone: (760) 592-4586
Fax: (760) 545-0252

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  • Organization
  • General Practice
  • CLIA Number: 05D2125040
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-30-2027

About IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Imperial Valley Family Care Medical Group, a primary care provider established in El Centro, California operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1376820159 assigned on November 2011. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Vachaspathi Palakodeti M.d. (President)

NPI
1376820159
Provider Name
IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP
Entity Type
Organization
Location Address
1520 SOUTH IMPERIAL AVENUE EL CENTRO, CA 92243
Location Phone
(760) 592-4586
Location Fax
(760) 545-0252
Mailing Address
516 WEST ATEN ROAD SUITE 2 IMPERIAL, CA 92251
Mailing Phone
(760) 355-7730
Mailing Fax
(760) 545-0252
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-08-2011
Last Update Date
11-08-2011
Code Navigator

A primary care provider (PCP) like Imperial Valley Family Care Medical Group sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

VACHASPATHI PALAKODETI M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(760) 355-7730

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
05D2125040
Facility Type
Physician Office
Certificate Effective Date
January 31, 2025
Certificate Expiration Date
January 30, 2027
Laboratory Director
PRABDEEP SINGH, MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Imperial Valley Family Care Medical Group 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.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1376820159, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 8 → 16 → 7 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 4 + 6 + 1 + 6 + 2 + 0 + 1 + 1 + 0 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1376820159.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376820159, enumerated as an "organization" on November 08, 2011.

The provider is located at 1520 SOUTH IMPERIAL AVENUE EL CENTRO, CA 92243 and the phone number is (760) 592-4586.

General Practice with taxonomy code 208D00000X.