IMPERIAL BEACH HEALTH CENTER
NPI 1790718351
Clinic/Center - Community Health in Imperial Beach, CA
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
Specialties & Licenses
Other Names 1
Other Identifiers 9
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Imperial Beach Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
24Medicare enrollment records show 24 clinicians reassign Medicare billing to Imperial Beach Health Center, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 24Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Imperial Beach Community Clinic enrolled in Medicare?
Yes. Imperial Beach Community Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Imperial Beach Community Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 8 Medicare specialties reassign their Medicare billing to Imperial Beach Community Clinic. 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. The largest specialties are Optometry (9), Family Practice (5) and Nurse Practitioner (5). Of these, 4 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Imperial Beach Health Center · NPI 1790718351
Community Health organization in Imperial Beach, California. Organization record, active in the CMS NPPES registry since July 8, 2006.
## Identity
- **NPI:** 1790718351 (Entity type: Organization)
- **Enumerated:** July 8, 2006
- **Primary specialty:** Clinic/Center - Community Health · taxonomy 261QC1500X
- **Legal business name:** Imperial Beach Community Clinic
- **Organization subpart:** No
- **Authorized official:** Constance Kirk, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 949 PALM AVENUE, Imperial Beach, CA 91932-1503
- **Phone:** (619) 429-3733 · **Fax:** (619) 429-6457
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 24 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Optometry (9), Family Practice (5), Nurse Practitioner (5); 4 practice at this address and 9 within 10 miles; [full list](https://npiprofile.com/npi/1790718351/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 27, 2010
- **Other identifiers:** Medicare ID-Type Unspecified 051948 (CA); Medicaid FHC11826F (CA); Other BCP11826F (CA); and 6 more
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Source: [NPI Profile](https://npiprofile.com/npi/1790718351) · Data from the CMS NPPES public registry.