Icpmd
General Practice Physician · Imperial, CA
Practice location
207 E Barioni Blvd Ste aImperial, CA 92251-1620
- Phone
- (760) 355-2999
- Fax
- (760) 768-5037
NPI record
- NPI
- 1609763721
- Entity type
- Organization (Type 2)
- Enumeration date
- June 20, 2025
- Last updated
- July 17, 2025
- Certified
- July 17, 2025
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Physician Primary | 208D00000X |
— | — |
Mailing address
1001 Blair AveCalexico, CA 92231-2308
- Phone
- (760) 562-6633
- Fax
- (760) 768-5037
Authorized official
- Name
- Mervat Kelada, MD
- Title
- CEO
- Phone
- (760) 562-6633
About Icpmd
Icpmd is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 207 E Barioni Blvd Ste a, Imperial, CA 92251-1620. The NPI number 1609763721 was assigned on June 20, 2025 and the record was last updated on July 17, 2025.
The authorized official for this organization is Mervat Kelada, MD, CEO.
Frequently asked questions
What is the NPI number of Icpmd?
The NPI number is 1609763721.
What is the phone number of Icpmd?
The phone number listed for the practice location is (760) 355-2999.
Where is Icpmd located?
207 E Barioni Blvd Ste a, Imperial, CA 92251-1620.
What is the taxonomy code for Icpmd?
The primary taxonomy code is 208D00000X – General Practice Physician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other General Practice Physician providers in Imperial
- Imperial Valley Family Care Medical Group APC516 West Aten Road