IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP, APC
NPI 1508295502
Clinic/Center - Rural Health in Brawley, CA

Active since November 11, 2013CLIA 05D2125367 · Waiver
608 G ST, SUITE 1A, BRAWLEY, CA 92227(760) 351-1011(760) 545-0247 Get Directions Write a Review

NPPES record last updated: November 20, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Imperial Valley Family Care Medical Group, Apc NPPES

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

IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP, APC (NPI 1508295502) is a healthcare organization registered as a rural health in Brawley, California and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through February 5, 2027 and lists Vachaspathi Palakodeti, President, as its authorized official.

NPPES Registry Identity

NPI1508295502
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameIMPERIAL VALLEY FAMILY CARE MEDICAL GROUP, APC
Location Address608 G ST, SUITE 1ABrawley, CA 92227-2568
Mailing Address516 W Aten Rd, Suite 2Imperial, CA 92251-9805 · (760) 355-7730 · Fax (760) 355-7731
Fax(760) 545-0247
Organization SubpartYes
Authorized OfficialVachaspathi PalakodetiPresident · (760) 355-7730
Enumeration DateNovember 11, 2013
Last NPPES UpdateNovember 20, 2013
NPI 1508295502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
608 G ST, Brawley, CA 92227

Other Identifiers 3

MedicaidGR0066310CA
Medicare PINW13536CCA
MedicaidGR0066318CA

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 05D2125367

Imperial Valley Family Care Medical Group · Brawley, CA
Active · expires Feb 5, 2027
CLIA Number05D2125367
Laboratory TypePhysician Office
Certificate Effective DateFebruary 6, 2025
Certificate Expiration DateFebruary 5, 2027
Laboratory DirectorLucian Oprea MD
Laboratory Phone(760) 351-1011
Laboratory LocationImperial Valley Family Care Medical Group608 G St Ste 1 A, Brawley, CA 92227
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

General Practice
608 G ST, SUITE 2-B
BRAWLEY, CA 92227
Surgery
608 G ST, SUITE 2-B
BRAWLEY, CA 92227
Pediatrics
608 G ST, SUITE 1A
BRAWLEY, CA 92227
Pediatrics
608 G ST, I-A
BRAWLEY, CA 92227
Nurse Practitioner (Family)
608 G ST, SUITE 2 A
BRAWLEY, CA 92227

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, Apc's NPI number?

The NPI number for Imperial Valley Family Care Medical Group, Apc is 1508295502. It was assigned to this organization in the NPPES registry on November 11, 2013.

Where is Imperial Valley Family Care Medical Group, Apc located?

Imperial Valley Family Care Medical Group, Apc is located at 608 G St Suite 1A, Brawley, CA 92227. The listed phone number is (760) 351-1011.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

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

Yes. A Certificate of Waiver (number 05D2125367) is associated with this NPI, valid through February 5, 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, Apc was last updated on November 20, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.