LA MAESTRA FAMILY CLINIC INC (NPI# 1134590086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134590086 |
Entity Type | Organization |
Organization Name | LA MAESTRA FAMILY CLINIC INC |
Other Organization Name | LA MAESTRA COMMUNITY HEALTH CENTERS |
Practice Address |
1032 Broadway El Cajon CA 92021-7416 |
Mailing Address |
4060 Fairmount Ave San Diego CA 92105-1608 |
Practice Telephone | 6195841612 |
Mailing Telephone | 6195841612 |
Mailing Fax Number | 6192816738 |
Enumeration Date | 2015-10-16 |
Last Update Date | 2015-10-16 |
Authorized Official Name | MR. TOM VU (DIRECTOR OF RISK AND COMPLIANCE) |
Authorized Official Telephone | 6192691292 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
090000378 | CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | CMCSUB5E3 | 05 |
Other Name | Type Code |
---|---|
La Maestra Community Health Centers | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306929443 | La Maestra Family Clinic Inc | Clinic/Center | 165 South First Street, El Cajon, CA 92019 | 2006-10-23 |
1457521239 | La Maestra Family Clinic Inc | Pharmacy | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2008-03-07 |
Street Address |
1032 BROADWAY |
City | EL CAJON |
State | CA |
Zip Code | 92021-7416 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831343227 | Sarmad Habboush | Dentist | 1032 Broadway, El Cajon, CA 92021-7416 | 2008-11-11 |
1649648593 | Mira Jarmak | Dentist | 1032 Broadway, El Cajon, CA 92021-7416 | 2015-09-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033728498 | Hala Kadhem | Counselor | 1664 Broadway, El Cajon, San Diego, CA 92021 | 2020-07-30 |
1891331021 | Medevac Inc | Ambulance | 8025 Tone Lane, El Cajon, CA 92021 | 2019-11-22 |
1760024095 | San Diego Health Alliance, Inc. | Clinic/Center | 1625 East Main Street, El Cajon, CA 92021 | 2019-10-08 |
1295388932 | Coleen Stacie Cobbs | Social Worker | 1013 Greta Street, El Cajon, CA 92021 | 2019-07-22 |
1144744475 | Sarah Kala | Pharmacist | 505 N Mollison Ave #102, El Cajon, CA 92021 | 2017-07-28 |
1699139816 | Mayra Aranda | Counselor | 1679 East Main Street, Suite 102, El Cajon, CA 92021 | 2016-04-13 |
1942603436 | Scott Crusey | Counselor | 1679 East Main Street, Suite 102, El Cajon, CA 92021 | 2014-09-29 |
1104254317 | Naimh Martin | Counselor | 1630 E Main Street, El Cajon, CA 92021 | 2013-10-25 |
1386875540 | Jacqueline Vu Luong | Marriage & Family Therapist | 1000 Broadway #100, El Cajon, CA 92021 | 2009-08-05 |
1740444264 | Peter Morhan Sun | General Practice | 7957 Bevin Lane, El Cajon, CA 92021 | 2008-07-14 |
Find all providers in zip 92021 |
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 |
1104861681 | Family Health Centers of San Diego, Inc | Clinic/Center | 1111 W Chase Ave, El Cajon, CA 92020-5710 | 2006-06-18 |
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 |
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 |
Please comment or provide details below to improve the information on LA MAESTRA FAMILY CLINIC INC.
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.