LA MAESTRA FAMILY CLINIC INC


Address: 1032 Broadway, El Cajon, CA 92021-7416
Phone: 6195841612

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
CA CMCSUB5E3 05

Other Provider/Organization Names

Other Name Type Code
La Maestra Community Health Centers Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1032 BROADWAY
City EL CAJON
State CA
Zip Code 92021-7416

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City EL CAJON
Zip Code 92021

Improve Information

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Dataset Information

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.

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