LA MAESTRA FAMILY CLINIC INC (NPI# 1306929443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306929443 |
| Entity Type | Organization |
| Organization Name | LA MAESTRA FAMILY CLINIC INC |
| Other Organization Name | LA MAESTRA COMMUNITY HEALTH CENTERS |
| Practice Address |
165 South First Street El Cajon CA 92019 |
| Mailing Address |
4060 Fairmount Avenue San Diego CA 92105 |
| Practice Telephone | 6193120347 |
| Practice Fax Number | 6197495480 |
| Mailing Telephone | 6192801105 |
| Mailing Fax Number | 6192816738 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2010-09-16 |
| Authorized Official Name | MS. ZARA MARSELIAN (CEO) |
| Authorized Official Telephone | 6195841612 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
090000679 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC71086F | 05 | |
| CA | CDP PROVIDER NUMBER | BCP71086F | 01 |
| CA | SOFP PROVIDER NUMBER | HAP71086F | 01 |
| CA | EAPC PROVIDER NUMBER | EAP00011F | 01 |
| Other Name | Type Code |
|---|---|
| La Maestra Community Health Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134590086 | La Maestra Family Clinic Inc | Clinic/Center | 1032 Broadway, El Cajon, CA 92021-7416 | 2015-10-16 |
| 1457521239 | La Maestra Family Clinic Inc | Pharmacy | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2008-03-07 |
| Street Address |
165 SOUTH FIRST STREET |
| City | EL CAJON |
| State | CA |
| Zip Code | 92019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497299747 | Vanessa Salem | Occupational Therapy Assistant | 11368 Via Rancho San Diego Unit F, El Cajon, CA 92019 | 2016-12-06 |
| 1497103865 | Jocelyn De Jesus Tuason | Assisted Living Facility | 11945 Via Hacienda, El Cajon, CA 92019 | 2016-05-26 |
| 1508241340 | Dalia Jamma | Dentist | 2990 Jamacha Rd # 140, El Cajon, CA 92019 | 2015-07-22 |
| 1720477060 | Angela Marie Robertson | Registered Nurse | 208 Almyra Rd, El Cajon, CA 92019 | 2015-01-09 |
| 1730483785 | Christina Lynn Winter | Dentist | 183 S. First Street, El Cajon, CA 92019 | 2011-01-05 |
| 1649588005 | Anna Liza Celso Baston | Nurse Practitioner | 1465 E Lexington, Unit 10-c, El Cajon, CA 92019 | 2010-09-20 |
| 1194050997 | Cokey Powell | Psychologist | 2815 Steele Cajon Rd., El Cajon, CA 92019 | 2009-10-12 |
| 1871738039 | Volunteers In Medicine - San Diego, Inc. | Voluntary or Charitable | 1465 E Madison Avenue, El Cajon, CA 92019 | 2008-12-02 |
| 1568507168 | Dianna Lee Norman | Family Medicine | 165 S First Street, El Cajan, CA 92019 | 2007-02-21 |
| 1780746263 | Ebtissam H Korkis | Family Medicine | 1530 Jamacha Road, Unit E Unit F, El Cajon, CA 92019 | 2006-12-14 |
| Find all providers in zip 92019 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154356145 | Planned Parenthood of The Pacific Southwest | Clinic/Center | 1685 E Main St Ste 301, El Cajon, CA 92021-5292 | 2006-07-11 |
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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.