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IMPERIAL BEACH HEALTH CENTER
NPI 1508028200
Family Medicine in Imperial Beach, CA

Active since June 25, 2008CLIA 05D0683042 · Microscopy
949 PALM AVENUE, IMPERIAL BEACH, CA 91932(619) 429-3733(619) 429-6457 Get Directions Write a Review

NPPES record last updated: June 25, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Imperial Beach Health Center NPPES

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

IMPERIAL BEACH HEALTH CENTER (NPI 1508028200) is a healthcare organization registered as a family medicine in Imperial Beach, California and active in the NPI registry since June 2008. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Constance Kirk, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1508028200
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameIMPERIAL BEACH COMMUNITY CLINIC
Location Address949 PALM AVENUEImperial Beach, CA 91932-1503
Mailing AddressPo Box 459Imperial Beach, CA 91933-0459 · (619) 429-5387 · Fax (619) 429-6457
Phone(619) 429-3733
Fax(619) 429-6457
Organization SubpartYes
Authorized OfficialConstance KirkExecutive Director · (619) 429-5387
Enumeration DateJune 25, 2008
✔ NPI 1508028200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
949 PALM AVENUE, Imperial Beach, CA 91932
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Other Names 1

Doing Business AsImperial Beach Health Center

Other Identifiers 1

Medicare PINW2105CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 for Provider-Performed Microscopy Procedures (PPMP) 05D0683042

Imperial Beach Health Center · Imperial Beach, CA
Active · expires Aug 31, 2026
CLIA Number05D0683042
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Veronica Palomino
Laboratory Phone(619) 429-3733
Laboratory LocationImperial Beach Health Center949 Palm Avenue, Imperial Beach, CA 91932
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 3

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

ERIC JOHN LEUTE MD
Family Medicine
949 PALM AVENUE, IMPERIAL BEACH HEALTH CENTER
IMPERIAL BEACH, CA 91932
San Diego County (619) 429-3733
IMPERIAL BEACH COMMUNITY CLINIC
Clinic/Center (Community Health)
949 PALM AVENUE
IMPERIAL BEACH, CA 91932
San Diego County (619) 429-3733
LEONOR A ORDONEZ MD
Family Medicine
949 PALM AVENUE, IMPERIAL BEACH HEALTH CENTER
IMPERIAL BEACH, CA 91932
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 1508028200. It was assigned to this organization in the NPPES registry on June 25, 2008. The provider is doing business as Imperial Beach Health Center.

Where is Imperial Beach Community Clinic located?

Imperial Beach Community Clinic is located at 949 Palm Avenue, Imperial Beach, CA 91932. The listed phone number is (619) 429-3733.

What is Imperial Beach Community Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Imperial Beach Community Clinic hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0683042) is associated with this NPI, valid through August 31, 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 Imperial Beach Community Clinic was last updated on June 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.