Legacy Md Medical Group Inc - Medicare Mental Health Clinic in El Centro, CA

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Legacy Md Medical Group Inc is a medicare enrolled mental health clinic (General Practice) in El Centro, California. The current practice location for Legacy Md Medical Group Inc is 1699 N Imperial Ave, El Centro, California. For appointments, you can reach them via phone at (760) 550-1685. The mailing address for Legacy Md Medical Group Inc is 1699 N Imperial Ave, El Centro, California and phone number is (760) 550-1685.

Legacy Md Medical Group Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1073210753. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (760) 550-1685.

Contact Information

Legacy Md Medical Group Inc
1699 N Imperial Ave
El Centro
CA 92243-1320
(760) 550-1685
(888) 631-5150

Map and Direction


Mental Health Clinic Profile

Full NameLegacy Md Medical Group Inc
SpecialityGeneral Practice
Location1699 N Imperial Ave, El Centro, California
Authorized Official Name and PositionJohn M Strong (PRESIDENT)
Authorized Official Contact7605501685
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Legacy Md Medical Group Inc
1699 N Imperial Ave
El Centro
CA 92243-1320

Ph: (760) 550-1685		Legacy Md Medical Group Inc
1699 N Imperial Ave
El Centro
CA 92243-1320

Ph: (760) 550-1685

NPI Details:

NPI Number1073210753
Provider Enumeration Date02/13/2023
Last Update Date07/16/2025
Certification Date07/16/2025

Medicare PECOS Information:

Medicare PECOS PAC ID0446619738
Medicare Enrollment IDO20230705001455

Medical Identifiers

Medical identifiers for Legacy Md Medical Group Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073210753NPI-NPPES
1043248719OtherCANPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103K00000XBehavior Analyst (* (Not Available))Secondary
261QP2000XClinic/center - Physical Therapy (* (Not Available))Secondary
261QU0200XClinic/center - Urgent Care (* (Not Available))Secondary
208D00000XGeneral Practice (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Legacy Md Medical Group Inc acts as a billing entity for following providers:
Provider NameHarry D Elshire
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1376618389
PECOS PAC ID: 2163410721
Enrollment ID: I20040506000442
Provider NameRamaiah Indudhara
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1538116215
PECOS PAC ID: 7618957333
Enrollment ID: I20040722001405
Provider NameHoang M Ho
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1275684847
PECOS PAC ID: 7214906759
Enrollment ID: I20040930000689
Provider NameLawrence N Cooper
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1518939297
PECOS PAC ID: 4284603267
Enrollment ID: I20050418001321
Provider NameNasrin K Ansari
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1609960483
PECOS PAC ID: 3779581103
Enrollment ID: I20061120000332
Provider NameJuan Carlos Velazquez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497812895
PECOS PAC ID: 2961591771
Enrollment ID: I20071201000200
Provider NameHetal R Bhakta
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1336248285
PECOS PAC ID: 4284718024
Enrollment ID: I20080303000619
Provider NameWilly H Anand
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1578794970
PECOS PAC ID: 5991844482
Enrollment ID: I20091121000140
Provider NameMichael N Rutman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1245303122
PECOS PAC ID: 2860533056
Enrollment ID: I20100111000198
Provider NameBryant Nguyen
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1902085426
PECOS PAC ID: 4789756545
Enrollment ID: I20110815000304
Provider NameJames M Kohan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063568947
PECOS PAC ID: 1658364302
Enrollment ID: I20120104000377
Provider NameChristopher Lai
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1508905159
PECOS PAC ID: 5193638328
Enrollment ID: I20120316000119
Provider NameWilliam Dechavez Convalecer
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1699794594
PECOS PAC ID: 5991709669
Enrollment ID: I20130828000859
Provider NameJohn J Lee
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1932356177
PECOS PAC ID: 1951612647
Enrollment ID: I20150622002362
Provider NameDuc T Nguyen
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1245495498
PECOS PAC ID: 8527115815
Enrollment ID: I20160222000135
Provider NamePatrick H Sweet
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1457407702
PECOS PAC ID: 6901103829
Enrollment ID: I20160321001230
Provider NameJohn Strong
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043248719
PECOS PAC ID: 9335204163
Enrollment ID: I20170420001379
Provider NameSohaib Tariq
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1023391166
PECOS PAC ID: 6406124379
Enrollment ID: I20170616002455
Provider NameThomas L Whitehead
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982122560
PECOS PAC ID: 6305102609
Enrollment ID: I20171101003286
Provider NamePamela Simpson
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1821599903
PECOS PAC ID: 6204180250
Enrollment ID: I20181112000546
Provider NameAnh Ryuken Vo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699136127
PECOS PAC ID: 6709184930
Enrollment ID: I20190117002705
Provider NameAlexis L Arreola
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760035992
PECOS PAC ID: 4385076751
Enrollment ID: I20191125000234
Provider NameDavid D Nacionales
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1699169227
PECOS PAC ID: 5294068078
Enrollment ID: I20200918001080
Provider NameChristian Omar Romero
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942806237
PECOS PAC ID: 2567878408
Enrollment ID: I20210301002401
Provider NameJhoana B Tovar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649868191
PECOS PAC ID: 8224445440
Enrollment ID: I20210405001923
Provider NameJoanna Falcon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689254039
PECOS PAC ID: 9830591536
Enrollment ID: I20210716000820
Provider NameMichel Darazi
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1003286550
PECOS PAC ID: 4082045240
Enrollment ID: I20210811002393
Provider NameRafid Asfar
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1639468747
PECOS PAC ID: 2961626486
Enrollment ID: I20211103001270
Provider NameVenus Nguyen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053705087
PECOS PAC ID: 0941577001
Enrollment ID: I20220712003771
Provider NameMichael E Schwartz
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1700847514
PECOS PAC ID: 3577620467
Enrollment ID: I20221214002611
Provider NameSteven J Hernandez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013658525
PECOS PAC ID: 7113397522
Enrollment ID: I20221229001537
Provider NameMona Lisa Ruiz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720744162
PECOS PAC ID: 4981077385
Enrollment ID: I20230306002680
Provider NameBenjamin Reisin
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1891952180
PECOS PAC ID: 3577924406
Enrollment ID: I20240131001429
Provider NameJavier Lopez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770340515
PECOS PAC ID: 0749626604
Enrollment ID: I20240313003551
Provider NameAmy Bullock
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1871997692
PECOS PAC ID: 3173054525
Enrollment ID: I20241009002131
Provider NameAshley Codding
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1609390657
PECOS PAC ID: 6901338086
Enrollment ID: I20241014003719
Provider NameMarta Patricia Carrillo
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1770354102
PECOS PAC ID: 2860929692
Enrollment ID: I20241218001693

Reviews and Comments

General Practice in El Centro, CA

Imperial County Behavioral Health Services
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1014 W Brighton Ave, El Centro, CA 92243
Phone: 442-265-1940    
Imperial County Behavioral Health Services
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 313 Waterman Ave, El Centro, CA 92243
Phone: 442-265-7200    
Imperial County Behavioral Health Services
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 202 N 8th St, El Centro, CA 92243
Phone: 760-482-4000    
Leading Behavioral Change Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1724 Driftwood Dr, El Centro, CA 92243
Phone: 760-222-2283    
Edward Cherlin, M.d. Inc.
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 230 South 8th Street, El Centro, CA 92243
Phone: 760-352-0448    Fax: 760-362-8865
Peter Dimanno Lcsw Apc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1503 N Imperial Ave, 205, El Centro, CA 92243
Phone: 760-352-4773    Fax: 760-352-4747

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.