1. Home
  2. Directory
  3. California
  4. Imperial Beach
  5. Clinic Center
  6. NPI Profile

IMPERIAL BEACH HEALTH CENTER
NPI 1790718351
Clinic/Center - Community Health in Imperial Beach, CA

Active since July 08, 2006
949 PALM AVENUE, IMPERIAL BEACH, CA 91932(619) 429-3733(619) 429-6457 Get Directions Write a Review

NPPES record last updated: May 27, 2010. Verified against the NPPES registry weekly; last sync: August 09, 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 1790718351) is a healthcare organization registered as a community health in Imperial Beach, California and active in the NPI registry since July 2006. The organization lists Constance Kirk, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1790718351
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameIMPERIAL BEACH COMMUNITY CLINIC
Location Address949 PALM AVENUEImperial Beach, CA 91932-1503
Mailing AddressPo Box 459Imperial Beach, CA 91933-0459 · (619) 429-3733 · Fax (619) 429-6457
Phone(619) 429-3733
Fax(619) 429-6457
Organization SubpartNo
Authorized OfficialConstance KirkExecutive Director · (619) 429-5387
Enumeration DateJuly 8, 2006
Last NPPES UpdateMay 27, 2010
✔ NPI 1790718351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
949 PALM AVENUE, Imperial Beach, CA 91932
Open in Google Maps ↗

Other Names 1

Doing Business AsImperial Beach Health Center

Other Identifiers 9

Medicare ID-Type Unspecified051948CA · Medicare
MedicaidFHC11826FCA
OtherBCP11826FCA · Cdp
Other40CA · County Medical Services
OtherEAP11826FCA · Eapc
Medicare ID-Type UnspecifiedW2105CA · Nhic
OtherFHC11826FCA · Medi Cal
OtherHAP11826FCA · Family Pact
Other05D0683042Laboratory Clia Number

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.

IMPERIAL BEACH COMMUNITY CLINIC
Family Medicine
949 PALM AVENUE
IMPERIAL BEACH, CA 91932
San Diego County (619) 429-3733
ERIC JOHN LEUTE MD
Family Medicine
949 PALM AVENUE, IMPERIAL BEACH HEALTH CENTER
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 1790718351. It was assigned to this organization in the NPPES registry on July 8, 2006. 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 Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Imperial Beach Community Clinic was last updated on May 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.