IMPERIAL VALLEY OCCUPATIONAL MEDICINE
NPI 1487106217
Clinic/Center - Occupational Medicine in El Centro, CA

NPI Status: Active since October 27, 2016

Contact Information

1850 W MAIN ST STE E
EL CENTRO, CA
ZIP 92243
Phone: (760) 370-0020

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  • Organization
  • Clinic/Center
  • Occupational Medicine
  • CLIA Number: 05D2185500
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-03-2026

About IMPERIAL VALLEY OCCUPATIONAL MEDICINE

This page provides the complete NPI Profile along with additional information for Imperial Valley Occupational Medicine, a provider established in El Centro, California operating as a Clinic/center, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1487106217 assigned on October 2016. The practitioner's primary taxonomy code is 261QX0100X with license number C042845 (CA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Arthur Amanfo (Ceo)

NPI
1487106217
Provider Name
IMPERIAL VALLEY OCCUPATIONAL MEDICINE
Entity Type
Organization
Location Address
1850 W MAIN ST STE E EL CENTRO, CA 92243
Location Phone
(760) 370-0020
Mailing Address
1850 W MAIN ST STE E EL CENTRO, CA 92243
Mailing Phone
(760) 370-0020
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-27-2016
Last Update Date
10-27-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Occupational Medicine

Taxonomy Code
261QX0100X
Type
Ambulatory Health Care Facilities
License No.
C042845
License State
CA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ARTHUR AMANFO

Authorized Official Title
CEO
Authorized Official Phone
(760) 370-0020

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2185500
Facility Type
Physician Office
Certificate Effective Date
June 04, 2024
Certificate Expiration Date
June 03, 2026
Laboratory Director
TERENCE MULVANY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Imperial Valley Occupational Medicine to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1487106217
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24167201222
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 2 + 0 + 1 + 2 + 2 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1487106217 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487106217, enumerated in the NPI registry as an "organization" on October 27, 2016

The provider is located at 1850 W Main St Ste E El Centro, Ca 92243 and the phone number is (760) 370-0020

This medical organization specializes in Clinic/Center with taxonomy code 261QX0100X with a focus in Occupational Medicine

The provider's CLIA number is 05D2185500 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on October 27, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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