| Tyson Medical Inc | |
|
2026 N Imperial Ave Ste C El Centro CA 92243-1607 | |
| (760) 592-4351 | |
| (760) 790-0017 |
| Full Name | Tyson Medical Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2026 N Imperial Ave Ste C, El Centro, California |
| Authorized Official Name and Position | Brian Tyson (CEO) |
| Authorized Official Contact | 7605924351 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tyson Medical Inc 420 Sunflower Ct Brawley CA 92227-3243 Ph: (760) 592-4351 | Tyson Medical Inc 2026 N Imperial Ave Ste C El Centro CA 92243-1607 Ph: (760) 592-4351 |
| NPI Number | 1376053843 |
|---|---|
| Provider Enumeration Date | 10/10/2017 |
| Last Update Date | 09/19/2025 |
| Medicare PECOS PAC ID | 3072870112 |
|---|---|
| Medicare Enrollment ID | O20171128003449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376053843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Brian M Tyson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346266269 PECOS PAC ID: 7517921067 Enrollment ID: I20041115001272 |
| Provider Name | George C Fareed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720074313 PECOS PAC ID: 6709813017 Enrollment ID: I20050719000478 |
| Provider Name | Anooshirvan Bozorgmehr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689019200 PECOS PAC ID: 9739321209 Enrollment ID: I20130813000212 |
| Provider Name | Jose Navarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710371794 PECOS PAC ID: 0749500478 Enrollment ID: I20150521000094 |
| Provider Name | Gabriel Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164043782 PECOS PAC ID: 8224450481 Enrollment ID: I20200617002294 |
| Provider Name | Wesley E Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265032486 PECOS PAC ID: 9537557392 Enrollment ID: I20211027001645 |
| Provider Name | Emmanuel O. Munoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710366489 PECOS PAC ID: 9032501069 Enrollment ID: I20220124002545 |
| Provider Name | Christina Braunworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831794023 PECOS PAC ID: 5294114203 Enrollment ID: I20220622002122 |
| Provider Name | Fabiola Tyson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518600360 PECOS PAC ID: 0042694580 Enrollment ID: I20220831003250 |
| Provider Name | Luis Enrique Verduzco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811456742 PECOS PAC ID: 8921483348 Enrollment ID: I20220920003403 |
| Provider Name | Francisco Aviles-garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710614771 PECOS PAC ID: 0042696056 Enrollment ID: I20220928002847 |
| Provider Name | Joel Romo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679237580 PECOS PAC ID: 3375902133 Enrollment ID: I20230711003513 |
| Provider Name | Dawn Michele Kelley-lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518570415 PECOS PAC ID: 9234599150 Enrollment ID: I20230724001744 |
| Provider Name | Andres Maldonado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699189522 PECOS PAC ID: 8628431384 Enrollment ID: I20230828003329 |
| Provider Name | Daniel Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831964121 PECOS PAC ID: 2860837317 Enrollment ID: I20240223003639 |
| Provider Name | Emmanuel Beltran Gutierrez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467038935 PECOS PAC ID: 5991232902 Enrollment ID: I20250102001060 |
| Provider Name | Priscilla Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720868334 PECOS PAC ID: 9739605254 Enrollment ID: I20250428004052 |
San Diego Hospital Based Physician Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1415 Ross Ave, El Centro, CA 92243 Phone: 760-339-7100 Fax: 760-339-7389 | |
Imperial County Physicians Medical Group Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1503 N Imperial Ave Ste 105a, El Centro, CA 92243 Phone: 760-290-4297 | |
Imperial County Public Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 935 Broadway Ave, El Centro, CA 92243 Phone: 442-265-1444 Fax: 760-352-9933 | |
Easyaccess Care Ipa, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1590 S Imperial Ave, El Centro, CA 92243 Phone: 760-352-2551 Fax: 760-352-3022 | |
Ceja & Singh A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2061 Ross Ave Ste B, El Centro, CA 92243 Phone: 603-525-8007 | |
El Centro Regional Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 385 W Main St, El Centro, CA 92243 Phone: 760-482-9100 | |
Imperial County Physicians Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1498 S La Brucherie Rd, El Centro, CA 92243 Phone: 858-775-5553 Fax: 858-824-7010 |