FAMILY HEALTH CENTERS OF SAN DIEGO, INC (NPI# 1104861681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104861681 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CENTERS OF SAN DIEGO, INC |
| Other Organization Name | CHASE AVENUE FAMILY HEALTH CENTER |
| Practice Address |
1111 W Chase Ave El Cajon CA 92020-5710 |
| Mailing Address |
823 Gateway Center Way San Diego CA 92102-4541 |
| Practice Telephone | 6195152499 |
| Practice Fax Number | 6195939164 |
| Mailing Telephone | 6195152300 |
| Mailing Fax Number | 6192371856 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2008-01-11 |
| Authorized Official Name | MS. LUCY SAN DIEGO-JAVATE (CFO) |
| Authorized Official Telephone | 6195152303 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE - NHIC | W5352E | 01 |
| CA | FHC70856F | 05 |
| Other Name | Type Code |
|---|---|
| Chase Avenue Family Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952925109 | Family Health Centers of San Diego, Inc | Clinic/Center | 333 H St Ste 2010, Chula Vista, CA 91910-5556 | 2020-06-03 |
| 1043856362 | Family Health Centers of San Diego, Inc | Clinic/Center | 1401 Imperial Ave, San Diego, CA 92101-7527 | 2019-11-21 |
| 1093298879 | Family Health Centers of San Diego, Inc | Clinic/Center | 3420 College Ave, San Diego, CA 92115-7134 | 2018-09-08 |
| 1891929691 | Family Health Centers of San Diego, Inc | Clinic/Center | 7586 Broadway, Lemon Grove, CA 91945-1604 | 2009-05-07 |
| 1174549232 | Family Health Centers of San Diego, Inc | Clinic/Center | 2391 Island Avenue, San Diego, CA 92102-2918 | 2006-07-14 |
| 1982635470 | Family Health Centers of San Diego, Inc | Clinic/Center | 1643 Logan Ave, San Diego, CA 92113-1004 | 2006-07-05 |
| 1386689701 | Family Health Centers of San Diego, Inc | Clinic/Center | 3705 Mission Blvd, San Diego, CA 92109-7104 | 2006-06-19 |
| 1508801069 | Family Health Centers of San Diego, Inc | Clinic/Center | 8788 Jamacha Rd, Spring Valley, CA 91977-4035 | 2006-06-18 |
| 1013952597 | Family Health Centers of San Diego, Inc | Clinic/Center | 2204 National Ave, San Diego, CA 92113-3615 | 2006-06-18 |
| 1336770445 | Family Health Centers of San Diego, Inc | Clinic/Center | 742 10th St, Imperial Beach, CA 91932-2216 | 2020-01-28 |
| Street Address |
1111 W CHASE AVE |
| City | EL CAJON |
| State | CA |
| Zip Code | 92020-5710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689093684 | Shuang Lin | Family Medicine | 1111 W Chase Ave, El Cajon, CA 92020 | 2014-04-08 |
| 1871934414 | Melanie Ames Swan | Registered Nurse | 1111 W Chase Ave, El Cajon, CA 92020-5710 | 2013-07-11 |
| 1285079509 | Randa Abdullah Gorges | Internal Medicine | 1111 W Chase Ave, El Cajon, CA 92020-5710 | 2013-04-30 |
| 1568740983 | Neeza Hassan Kamil | Family Medicine | 1111 W Chase Ave, El Cajon, CA 92020-5710 | 2011-08-02 |
| 1487948584 | Deepthi Kesanapalli | Pediatrics | 1111 W Chase Ave, El Cajon, CA 92020-5710 | 2011-06-06 |
| 1861648461 | Carol Lynn Hastanan | Family Medicine | 1111 W Chase Ave, El Cajon, CA 92020-5710 | 2008-08-14 |
| 1477711521 | Christopher Gordon | Family Medicine | 1111 W Chase Ave, El Cajon, CA 92020-5710 | 2008-05-27 |
| 1669658373 | Family Health Centers of San Diego | Clinic/Center | 1111 W Chase Ave, El Cajon, CA 92020-5710 | 2008-01-11 |
| 1033395843 | Family Health Centers of San Diego | Clinic/Center | 1111 W Chase Ave, El Cajon, CA 92020-5710 | 2008-01-11 |
| 1164608972 | Family Health Centers of San Diego | Clinic/Center | 1111 W Chase Ave, El Cajon, CA 92020-5710 | 2008-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877840 | Margarito Alejandro Torres | Behavior Technician | 1005 S. Sunshine Ave, El Cajon, CA 92020 | 2020-07-01 |
| 1619503166 | Stella Zeicu Varagic | Dentist | 2526 Fletcher Pkwy, El Cajon, CA 92020 | 2020-03-17 |
| 1548827819 | Unexpected Possibilities, Inc | Non-emergency Medical Transport (VAN) | 1015 El Cajon Blvd # A, El Cajon, CA 92020 | 2019-05-22 |
| 1083175707 | Maricela Uriarte D.d.s | Dentist | 164 W Park Ave, El Cajon, CA 92020 | 2019-03-26 |
| 1881153963 | Rubeleta Medina | Nurse Practitioner | 1908 Friendship Drive, El Cajon, CA 92020 | 2019-03-18 |
| 1235619800 | Melissa Gomez | Counselor | 1600 Cuyamaca St, El Cajo, CA 92020 | 2018-08-14 |
| 1013407790 | Erin Metcalf | Family Medicine | 133 W Main St., 240, El Cajon, CA 92020 | 2018-05-17 |
| 1326535220 | Diana Orozco | Counselor | 1870cordell Court, Suite 101, El Cajon, CA 92020 | 2018-04-16 |
| 1104330646 | Mercy Air Service, Inc. | Ambulance | 545 Kenney St Ste G1a, El Cajon, CA 92020 | 2017-11-20 |
| 1790296184 | Way Cool Homecare, Inc | In Home Supportive Care | 900 N. Cuyamaca Street, Ste 201, El Cajon, CA 92020 | 2017-10-12 |
| Find all providers in zip 92020 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194361154 | Centro De Salud De La Comunidad De San Ysidro Inc | Clinic/Center | 505 N Mollison Ave Ste 201, El Cajon, CA 92021-6159 | 2019-11-25 |
| 1568845741 | Centro De Salud De La Comunidad De San Ysidro, Inc. | Clinic/Center | 436 S Magnolia Ave Ste 101, El Cajon, CA 92020-5219 | 2015-07-07 |
| 1356983241 | Family Health Centers of San Diego, Inc | Clinic/Center | 680 Fletcher Pkwy Ste 200, El Cajon, CA 92020-2500 | 2019-10-11 |
| 1932561198 | Family Health Centers of San Diego, Inc. | Clinic/Center | 525 E Main St, El Cajon, CA 92020-4007 | 2016-03-25 |
| 1134590086 | La Maestra Family Clinic Inc | Clinic/Center | 1032 Broadway, El Cajon, CA 92021-7416 | 2015-10-16 |
| 1669658373 | Family Health Centers of San Diego | Clinic/Center | 1111 W Chase Ave, El Cajon, CA 92020-5710 | 2008-01-11 |
| 1033395843 | Family Health Centers of San Diego | Clinic/Center | 1111 W Chase Ave, El Cajon, CA 92020-5710 | 2008-01-11 |
| 1164608972 | Family Health Centers of San Diego | Clinic/Center | 1111 W Chase Ave, El Cajon, CA 92020-5710 | 2008-01-11 |
| 1790961639 | La Maestra Family Clinic | Clinic/Center | 165 S 1st St, El Cajon, CA 92019-4795 | 2008-01-10 |
| 1760667950 | Neighborhood Healthcare | Clinic/Center | 855 E Madison Ave, El Cajon, CA 92020-3819 | 2008-01-07 |
| Find all providers in EL CAJON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.