LA MAESTRA FAMILY CLINIC INC


Address: 4060 Fairmount Ave, San Diego, CA 92105-1608
Phone: 6195647014

LA MAESTRA FAMILY CLINIC INC (NPI# 1457521239) 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) 1457521239
Entity Type Organization
Organization Name LA MAESTRA FAMILY CLINIC INC
Other Organization Name LA MAESTRA COMMUNITY PHARMACY
Practice Address 4060 Fairmount Ave
San Diego
CA 92105-1608
Practice Telephone 6195647014
Practice Fax Number 6195647015
Mailing Telephone 6195647014
Mailing Fax Number 6195647015
Enumeration Date 2008-03-07
Last Update Date 2018-07-19
Authorized Official Name ZARA MARSELIAN (CHIEF EXECT OFFICER)
Authorized Official Telephone 6198572062
Authorized Official Credential PHARM.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
48728 CA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2113283 01

Other Provider/Organization Names

Other Name Type Code
LA MAESTRA COMMUNITY PHARMACY 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
1134590086 La Maestra Family Clinic Inc Clinic/Center 1032 Broadway, El Cajon, CA 92021-7416 2015-10-16

Office Location

Street Address 4060 FAIRMOUNT AVE
City SAN DIEGO
State CA
Zip Code 92105-1608

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932104981 Sombath Senethong Family Medicine 4060 Fairmount Ave, San Diego, CA 92105-1608 2005-06-16
1811594286 Nathanael Jonathan Luna Pharmacist 4060 Fairmount Ave, San Diego, CA 92105-1608 2020-10-07
1184243420 Soona Ko Student in an Organized Health Care Education/Training Program 4060 Fairmount Ave, San Diego, CA 92105-1608 2020-04-15
1780233098 Cristina L Kim Nurse Practitioner 4060 Fairmount Ave, San Diego, CA 92105-1608 2019-09-09
1275189110 Jessica Wilson Nurse Practitioner 4060 Fairmount Ave, San Diego, CA 92105-1608 2019-08-15
1073177739 La Maestra Family Clinic, Inc. Clinic/Center 4060 Fairmount Ave, San Diego, CA 92105-1608 2019-04-29
1982181772 Vahid Niki Dentist 4060 Fairmount Ave, San Diego, CA 92105-1608 2018-07-24
1417446477 Kellie Ramsey Dentist 4060 Fairmount Ave, San Diego, CA 92105-1608 2018-05-05
1528586716 Emilia Kodiath Dentist 4060 Fairmount Ave, San Diego, CA 92105-1608 2017-09-07
1659814648 Iran Felix Nurse Practitioner 4060 Fairmount Ave, San Diego, CA 92105-1608 2016-11-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851934798 Point Loma Nazarene University Nurse Practitioner Point Loma Nazarene University Health Promotion Center, 4101 University Avenue, San Diego, CA 92105 2019-10-23
1104478809 Kristin Lynn Nichols Counselor 4823 El Cajon Blvd Suite #115, San Diego, CA 92105 2019-07-12
1205343076 Momentum Learning Counselor 3720 El Cajon Blvd., Sd, CA 92105 2018-01-03
1306352695 Nathan Hien Le, Dds. Inc Dentist 4170 Fairmount Ave., San Diego, CA 92105 2017-12-21
1073038071 Aika Mary Erlandson Student in an Organized Health Care Education/Training Program 5296 University Ave. Suite F-2, San Diego, CA 92105 2017-08-10
1457872178 Ride-in Transport LLC Non-emergency Medical Transport (VAN) 4061 Fairmount Ave, San Diego, CA 92105 2017-07-03
1598205346 Ahmed Mooge Ambulance 4061 Fairmout Ave, San Diego, CA 92105 2017-02-27
1083152748 Rady Childrens Hospital-san Diego Psychiatric Unit 4305 University Avenue, Suite 150, San Diego, CA 92105 2017-02-02
1730634098 Med Specialty Sai Inc. Pharmacy 4153 University Avenue, Suite B, San Diego, CA 92105 2016-08-16
1568857464 Dr. Jeffrey A. Saladin, Dental Corporation Dentist 4074 Fairmount Avenue, Suite B, San Diego, CA 92105 2015-03-30
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720689987 Capsule San Diego LLC Pharmacy 1450 Columbia St Ste B, San Diego, CA 92101-3487 2020-11-04
1710520960 Art Fertility LLC Pharmacy 11568 Sorrento Valley Rd Ste 12, San Diego, CA 92121-1313 2019-10-21
1043782022 Med Specialty Sai Inc Pharmacy 4153 University Ave Ste B, San Diego, CA 92105-1421 2019-01-01
1184139834 Eldahmy Wellness Pharmacy Inc. Pharmacy 1985 National Ave Ste 1103, San Diego, CA 92113-2155 2017-12-04
1154835973 Majestic Pharmacy Inc Pharmacy 7283 Engineer Rd Ste D, San Diego, CA 92111-1414 2017-12-01
1730634098 Med Specialty Sai Inc. Pharmacy 4153 University Avenue, Suite B, San Diego, CA 92105 2016-08-16
1043675366 Tu-uyen Le Pharmacy 3081-b Clairemont Drive, San Diego, CA 92117 2015-12-31
1285003442 Walgreens Pharmacy 7937 Hendricks Dr, San Diego, CA 92126-3538 2015-09-17
1376933820 Walgreen Co Pharmacy 602 Euclid Ave, San Diego, CA 92114-2207 2015-02-04
1639567605 Wellnessrx Pharmacy Corporation Pharmacy 5971 University Ave, Suite 304, San Diego, CA 92115-6335 2014-12-29
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Competitor

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City SAN DIEGO
Zip Code 92105

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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