| Desert Health Clinic LLC | |
|
2536 Rockwood Ave Ste 107 Calexico CA 92231-4408 | |
| (442) 250-7442 | |
| Not Available |
| Full Name | Desert Health Clinic LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 2536 Rockwood Ave Ste 107, Calexico, California |
| Authorized Official Name and Position | Yelitza Leonor Cuen (CEO) |
| Authorized Official Contact | 4422507442 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Health Clinic LLC 2536 Rockwood Ave Ste 107 Calexico CA 92231-4408 Ph: (442) 250-7442 | Desert Health Clinic LLC 2536 Rockwood Ave Ste 107 Calexico CA 92231-4408 Ph: (442) 250-7442 |
| NPI Number | 1386465979 |
|---|---|
| Provider Enumeration Date | 10/17/2024 |
| Last Update Date | 02/26/2025 |
| Certification Date | 02/26/2025 |
| Medicare PECOS PAC ID | 3072041763 |
|---|---|
| Medicare Enrollment ID | O20250108003169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386465979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Amanda Cuellar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275813560 PECOS PAC ID: 1658524624 Enrollment ID: I20121227000327 |
| Provider Name | Mayra K Carboni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508240862 PECOS PAC ID: 7911206776 Enrollment ID: I20160428001375 |
| Provider Name | Patricia Romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427584226 PECOS PAC ID: 8921379306 Enrollment ID: I20170803000283 |
| Provider Name | Cristina Crankshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184158255 PECOS PAC ID: 1456627843 Enrollment ID: I20171031001034 |
| Provider Name | James Michael Corbett-detig |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902224686 PECOS PAC ID: 5799044996 Enrollment ID: I20180116001688 |
| Provider Name | Joe Anthony Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558908368 PECOS PAC ID: 9133547706 Enrollment ID: I20200914001753 |
| Provider Name | Benjamin Reisin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891952180 PECOS PAC ID: 3577924406 Enrollment ID: I20240131001429 |
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