FAMILY HEALTH CENTERS OF SAN DIEGO, INC. (NPI# 1164671749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164671749 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CENTERS OF SAN DIEGO, INC. |
| Practice Address |
2130 National Ave San Diego CA 92113-2209 |
| Mailing Address |
823 Gateway Center Way San Diego CA 92102-4541 |
| Practice Telephone | 6195152355 |
| Practice Fax Number | 6192327011 |
| Mailing Telephone | 6195152300 |
| Mailing Fax Number | 6192371856 |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2017-12-14 |
| Authorized Official Name | MS. LUCY SAN DIEGO-JAVATE (CFO) |
| Authorized Official Telephone | 6195152303 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAMILY HEALTH CENTERS OF SAN DIEGO, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
090000113 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC11890F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104480946 | Family Health Centers of San Diego, Inc. | Clinic/Center | 5160 Federal Blvd, San Diego, CA 92105-5429 | 2019-04-26 |
| 1700440781 | Family Health Centers of San Diego, Inc. | Clinic/Center | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2019-04-25 |
| 1619531696 | Family Health Centers of San Diego, Inc. | Clinic/Center | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2019-04-25 |
| 1437678364 | Family Health Centers of San Diego, Inc. | Clinic/Center | 2130 National Ave, San Diego, CA 92113-2209 | 2017-09-12 |
| 1184169963 | Family Health Centers of San Diego, Inc. | Clinic/Center | 3514 30th St, San Diego, CA 92104-4120 | 2017-01-03 |
| 1417409228 | Family Health Centers of San Diego, Inc. | Clinic/Center | 1000 Euclid Ave, National City, CA 91950-3856 | 2016-10-27 |
| 1497204234 | Family Health Centers of San Diego, Inc. | Clinic/Center | 8851 Center Dr, Ste 312, La Mesa, CA 91942-3017 | 2016-09-21 |
| 1669827598 | Family Health Centers of San Diego, Inc. | Clinic/Center | 4065 3rd Ave, San Diego, CA 92103-2184 | 2016-04-28 |
| 1932561198 | Family Health Centers of San Diego, Inc. | Clinic/Center | 525 E Main St, El Cajon, CA 92020-4007 | 2016-03-25 |
| 1336332725 | Family Health Centers of San Diego, Inc. | Clinic/Center | 1809 National Ave, San Diego, CA 92113-2113 | 2007-08-20 |
| Street Address |
2130 NATIONAL AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92113-2209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689149163 | Bessy Ortiz | Counselor | 2130 National Ave, San Diego, CA 92113-2209 | 2018-10-10 |
| 1548759038 | Diane Breske | Social Worker | 2130 National Ave, San Diego, CA 92113-2209 | 2018-05-09 |
| 1033623293 | Vivian K Ash | Social Worker | 2130 National Ave, San Diego, CA 92113-2209 | 2017-11-27 |
| 1437678364 | Family Health Centers of San Diego, Inc. | Clinic/Center | 2130 National Ave, San Diego, CA 92113-2209 | 2017-09-12 |
| 1225437973 | Sarah Porras | Counselor | 2130 National Ave, San Diego, CA 92113-2209 | 2014-08-19 |
| 1871906735 | Krystal Isabel Carrillo | Counselor | 2130 National Ave, San Diego, CA 92113 | 2014-06-09 |
| 1952741506 | Rita Isabel Mckinney | Marriage & Family Therapist | 2130 National Ave, San Diego, CA 92113-2209 | 2013-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609305986 | Cynthia Alba | Nutritionist | 1809 National Ave., San Diego, CA 92113 | 2017-06-08 |
| 1184153983 | Jessy Milligan | Counselor | 4125 Alpha Street, San Diego, CA 92113 | 2017-06-06 |
| 1730557406 | Deborah Mary Malloy | Counselor | Jary Barreto, 2865 Logan Avenue, San Diego, CA 92113 | 2015-09-10 |
| 1104220912 | Imhotep Mustaqeem | Counselor | 3336 Steel Street, San Diego, CA 92113 | 2014-10-22 |
| 1831507300 | Olga Vasileva | Student in an Organized Health Care Education/Training Program | 2865 Logan Avenue, San Diego, CA 92113 | 2014-07-29 |
| 1477961951 | Angelica Quezada | Counselor | 32510 Newton Avenue B103, San Diego, CA 92113 | 2014-07-28 |
| 1477986750 | Anita Pena | Licensed Vocational Nurse | 604 Olivewood Ter, San Diego, CA 92113 | 2013-08-09 |
| 1134459399 | Susana Cabada | Technician, Other | 4031 Marine View Ave., San Diego, CA 92113 | 2010-01-11 |
| 1669595609 | Maria Emilia Siller | Registered Nurse | 3177a Oceanview Blvd, San Diego, AL 92113 | 2007-04-06 |
| 1710009691 | Maria Engracia Siordia | Licensed Vocational Nurse | 3177a Ocean View Blvd, San Diego, CA 92113 | 2007-04-04 |
| Find all providers in zip 92113 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
| 1730710567 | Inspired Psychology Inc | Clinic/Center | 2727 Camino Del Rio S Ste 340, San Diego, CA 92108-3741 | 2020-01-30 |
| 1164065033 | Preeti Presswala-shah, Marriage and Family Therapist, Inc | Clinic/Center | 6540 Lusk Blvd Ste C138a, San Diego, CA 92121-2767 | 2019-10-23 |
| 1932764164 | Whole Person-psychotherapy Inc. | Clinic/Center | 5230 Carroll Canyon Rd Ste 100, San Diego, CA 92121-1779 | 2019-05-02 |
| 1972065241 | Rogers Behavioral Health California, Inc | Clinic/Center | 17140 Bernardo Center Dr Ste 300, San Diego, CA 92128-2000 | 2019-04-04 |
| 1164915401 | New Alternatives Inc. | Clinic/Center | 8755 Aero Dr Ste 306&320, San Diego, CA 92123-1776 | 2018-06-12 |
| 1396240339 | A Mindful Healing Counseling Center | Clinic/Center | 2307 Fenton Pkwy # 107-239, San Diego, CA 92108-4746 | 2018-03-29 |
| 1386159374 | Learning To Be Human | Clinic/Center | 835 5th Ave Ste 407, San Diego, CA 92101-6137 | 2017-12-12 |
| 1194186544 | Telecare Corporation | Clinic/Center | 1660 Hotel Circle North, Suite 101, San Diego, CA 92108-2803 | 2016-03-14 |
| 1710069281 | Lds Family Services | Clinic/Center | 5675 Ruffin Road, Suite 325, San Diego, CA 92123-1391 | 2006-10-20 |
| 1538781190 | Cifc Inc. | Clinic/Center | 2725 Congress St Ste 2c, San Diego, CA 92110-2767 | 2020-05-17 |
| Find all providers in SAN DIEGO | ||||
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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.