SUNRISE MEDICAL GROUP OF IMPERIAL VALLEY
NPI 1689241002
Internal Medicine in El Centro, CA

Active since June 04, 2021CLIA 05D2262255 · Waiver
1671 W MAIN ST STE B, EL CENTRO, CA 92243(760) 622-3336 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 30, 2023, Jun 4, 2021 (2 updates tracked since 2021).

About Sunrise Medical Group Of Imperial Valley NPPES

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

SUNRISE MEDICAL GROUP OF IMPERIAL VALLEY (NPI 1689241002) is a healthcare organization registered as an internal medicine in El Centro, California and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through June 11, 2028 and lists John Francisco Guerrero, Owner, as its authorized official.

NPPES Registry Identity

NPI1689241002
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSUNRISE MEDICAL GROUP OF IMPERIAL VALLEY
Location Address1671 W MAIN ST STE BEl Centro, CA 92243-5420
Mailing Address1671 W Main St Ste BEl Centro, CA 92243-5420 · (760) 592-7760
Organization SubpartNo
Authorized OfficialJohn Francisco GuerreroOwner · (760) 975-5305
Enumeration DateJune 4, 2021
Last NPPES UpdateMarch 30, 20232 updates tracked since enumeration
NPPES CertifiedMarch 30, 2023
✔ NPI 1689241002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1671 W MAIN ST STE B, El Centro, CA 92243

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sunrise Medical Group Of Imperial Valley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Sunrise Medical Group Of Imperial Valley, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1154801280
1671 W MAIN ST STE B
El Centro, CA 92243
(760) 592-7760
✔ PECOS✔ Accepts MedicareSame address
Geriatric Medicine
NPI 1366516478
625 S FAIR OAKS AVE STE 245
Pasadena, CA 91105
(626) 229-9865
✔ PECOS175 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 05D2262255

Sunrise Medical Group Of Imperial Valley · El Centro, CA
Active · expires Jun 11, 2028
CLIA Number05D2262255
Laboratory TypePhysician Office
Certificate Effective DateJune 12, 2026
Certificate Expiration DateJune 11, 2028
Laboratory DirectorDr. George F. Tabi
Laboratory Phone(760) 592-7760
Laboratory LocationSunrise Medical Group Of Imperial Valley1671 W Main St Ste B, El Centro, CA 92243
CLIA data matches this NPI record on: Address Name 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 Sunrise Medical Group Of Imperial Valley's NPI number?

The NPI number for Sunrise Medical Group Of Imperial Valley is 1689241002. It was assigned to this organization in the NPPES registry on June 4, 2021.

Where is Sunrise Medical Group Of Imperial Valley located?

Sunrise Medical Group Of Imperial Valley is located at 1671 W Main St Ste B, El Centro, CA 92243. The listed phone number is (760) 622-3336.

What is Sunrise Medical Group Of Imperial Valley's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sunrise Medical Group Of Imperial Valley enrolled in Medicare?

Yes. Sunrise Medical Group Of Imperial Valley is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sunrise Medical Group Of Imperial Valley?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Sunrise Medical Group Of Imperial Valley, in Geriatric Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sunrise Medical Group Of Imperial Valley hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2262255) is associated with this NPI, valid through June 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sunrise Medical Group Of Imperial Valley was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.