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Imperial Beach Community Clinic

Community Health Clinic/Center in Imperial Beach, CA · enumerated 2006 · authorized official Constance Kirk, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790718351

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Registry record

Entity type Organization (Type 2)
Legal business name Imperial Beach Community Clinic
Other name <Unavail>
Practice address 949 Palm Avenue, Imperial Beach, CA, 91932
Fax (619) 429-6457
Enumeration date Jul 8, 2006
Last updated in NPPES May 27, 2010

Taxonomy & classification

261QC1500X Community Health Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Constance Kirk
Title Executive Director

Other identifiers

Identifier Type State Issuer
40 Other CA COUNTY MEDICAL SERVICES
HAP11826F Other CA FAMILY PACT
EAP11826F Other CA EAPC
FHC11826F Medicaid CA -
BCP11826F Other CA CDP
FHC11826F Other CA MEDI CAL
05D0683042 Other - LABORATORY CLIA NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Imperial Beach Community Clinic?
NPPES lists Constance Kirk (Executive Director) as the authorized official for this organization.
What is the NPI number for Imperial Beach Community Clinic?
The NPI for Imperial Beach Community Clinic is 1790718351, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-05-27.