Imperial Beach Community Clinic
NPI 1215246996 · Community Health Clinic/Center · San Diego, CA
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Imperial Beach Community Clinic is a Community Health Clinic/Center organization in San Diego, CA (NPI 1215246996).
Provider details
- NPI number
- 1215246996
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Imperial Beach Community Clinic
- Organization subpart
- Yes
- Authorized official
- Constance Kirk, Executive Director(619) 429-5387
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Nestor Community Health Center
Registry dates
- Enumerated
- 2010-09-29
- Last updated
- 2010-09-29
Frequently asked questions
- What is Imperial Beach Community Clinic's NPI number?
- Imperial Beach Community Clinic's National Provider Identifier (NPI) is 1215246996, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Imperial Beach Community Clinic?
- Imperial Beach Community Clinic is classified in the NPPES registry as Community Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Imperial Beach Community Clinic located?
- Imperial Beach Community Clinic's practice location on file with NPPES is 1016 Outer Rd, San Diego, CA 92154-1351.
- What is Imperial Beach Community Clinic's phone number?
- The practice phone number listed in the NPPES registry for Imperial Beach Community Clinic is (619) 429-3733.
- Does Imperial Beach Community Clinic accept Medicare?
- Imperial Beach Community Clinic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Imperial Beach Community Clinic?
- The authorized official listed on Imperial Beach Community Clinic's NPPES record is Constance Kirk, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Imperial Beach Community Clinic's NPI active?
- Yes — Imperial Beach Community Clinic's NPI (1215246996) is active in the NPPES registry as of the last update on 2010-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.