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

Active since November 08, 2011CLIA 05D2125040 · Waiver
1520 SOUTH IMPERIAL AVENUE, EL CENTRO, CA 92243(760) 592-4586(760) 545-0252 Get Directions Write a Review

NPPES record last updated: November 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Imperial Valley Family Care Medical Group NPPES

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

IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP (NPI 1376820159) is a healthcare organization registered as a general practice in El Centro, California and active in the NPI registry since November 2011. The organization holds a CLIA Waiver certificate valid through January 30, 2027 and lists Vachaspathi Palakodeti, President, as its authorized official.

NPPES Registry Identity

NPI1376820159
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameIMPERIAL VALLEY FAMILY CARE MEDICAL GROUP
Location Address1520 SOUTH IMPERIAL AVENUEEl Centro, CA 92243
Mailing Address516 West Aten Road Suite 2Imperial, CA 92251 · (760) 355-7730 · Fax (760) 355-7731
Phone(760) 592-4586
Fax(760) 545-0252
Organization SubpartNo
Authorized OfficialVachaspathi PalakodetiPresident · (760) 355-7730
Enumeration DateNovember 8, 2011
✔ NPI 1376820159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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
1520 SOUTH IMPERIAL AVENUE, El Centro, CA 92243
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 05D2125040

Imperial Valley Family Medical Group, Apc · El Centro, CA
Active · expires Jan 30, 2027
CLIA Number05D2125040
Laboratory TypePhysician Office
Certificate Effective DateJanuary 31, 2025
Certificate Expiration DateJanuary 30, 2027
Laboratory DirectorPrabdeep Singh, MD
Laboratory Phone(760) 592-4586
Laboratory LocationImperial Valley Family Medical Group, Apc1520 S. Imperial Ave, El Centro, CA 92243
CLIA data matches this NPI record on: Address 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 Imperial Valley Family Care Medical Group's NPI number?

The NPI number for Imperial Valley Family Care Medical Group is 1376820159. It was assigned to this organization in the NPPES registry on November 8, 2011.

Where is Imperial Valley Family Care Medical Group located?

Imperial Valley Family Care Medical Group is located at 1520 South Imperial Avenue, El Centro, CA 92243. The listed phone number is (760) 592-4586.

What is Imperial Valley Family Care Medical Group's specialty?

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

Does Imperial Valley Family Care Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2125040) is associated with this NPI, valid through January 30, 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 Valley Family Care Medical Group was last updated on November 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.