FAMILY HEALTH CENTERS OF SAN DIEGO, INC (NPI# 1508801069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508801069 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CENTERS OF SAN DIEGO, INC |
| Other Organization Name | GROSSMONT SPRING VALLEY FAMILY HEALTH CENTER |
| Practice Address |
8788 Jamacha Rd Spring Valley CA 91977-4035 |
| Mailing Address |
823 Gateway Center Way San Diego CA 92102-4541 |
| Practice Telephone | 6195152555 |
| Practice Fax Number | 6194625584 |
| Mailing Telephone | 6195152300 |
| Mailing Fax Number | 6192371856 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2008-01-11 |
| Authorized Official Name | MS. LUCY SAN DIEGO-JAVATE (CFO) |
| Authorized Official Telephone | 6195152303 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE - NHIC | W5352D | 01 |
| CA | FHC70793F | 05 |
| Other Name | Type Code |
|---|---|
| Grossmont Spring Valley Family Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952925109 | Family Health Centers of San Diego, Inc | Clinic/Center | 333 H St Ste 2010, Chula Vista, CA 91910-5556 | 2020-06-03 |
| 1043856362 | Family Health Centers of San Diego, Inc | Clinic/Center | 1401 Imperial Ave, San Diego, CA 92101-7527 | 2019-11-21 |
| 1093298879 | Family Health Centers of San Diego, Inc | Clinic/Center | 3420 College Ave, San Diego, CA 92115-7134 | 2018-09-08 |
| 1891929691 | Family Health Centers of San Diego, Inc | Clinic/Center | 7586 Broadway, Lemon Grove, CA 91945-1604 | 2009-05-07 |
| 1174549232 | Family Health Centers of San Diego, Inc | Clinic/Center | 2391 Island Avenue, San Diego, CA 92102-2918 | 2006-07-14 |
| 1982635470 | Family Health Centers of San Diego, Inc | Clinic/Center | 1643 Logan Ave, San Diego, CA 92113-1004 | 2006-07-05 |
| 1386689701 | Family Health Centers of San Diego, Inc | Clinic/Center | 3705 Mission Blvd, San Diego, CA 92109-7104 | 2006-06-19 |
| 1104861681 | Family Health Centers of San Diego, Inc | Clinic/Center | 1111 W Chase Ave, El Cajon, CA 92020-5710 | 2006-06-18 |
| 1013952597 | Family Health Centers of San Diego, Inc | Clinic/Center | 2204 National Ave, San Diego, CA 92113-3615 | 2006-06-18 |
| 1336770445 | Family Health Centers of San Diego, Inc | Clinic/Center | 742 10th St, Imperial Beach, CA 91932-2216 | 2020-01-28 |
| Street Address |
8788 JAMACHA RD |
| City | SPRING VALLEY |
| State | CA |
| Zip Code | 91977-4035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629613757 | Family Health Centers of San Diego, Inc | Clinic/Center | 8788 Jamacha Rd, Spring Valley, CA 91977-4035 | 2019-11-13 |
| 1649760356 | Melissa Robyn Sachs | Social Worker | 8788 Jamacha Rd, Spring Valley, CA 91977-4035 | 2018-05-17 |
| 1013362953 | Jasmine Valerie Gutierrez | Family Medicine | 8788 Jamacha Rd, Spring Valley, CA 91977-4035 | 2016-04-28 |
| 1518333483 | Kacie Gayla Brumley | Internal Medicine | 8788 Jamacha Rd, Spring Valley, CA 91977-4035 | 2015-08-14 |
| 1225442643 | Rebecca Elise Bacharach | Family Medicine | 8788 Jamacha Rd, Spring Valley, CA 91977-4035 | 2014-06-13 |
| 1326450867 | Shane Alan Fuller | Dentist | 8788 Jamacha Rd, Spring Valley, CA 91977-4035 | 2014-06-02 |
| 1043622459 | Armdabi Chung | Family Medicine | 8788 Jamacha Rd, Spring Valley, CA 91977-4035 | 2014-05-20 |
| 1326488719 | Melissa Marilyn Macy | Family Medicine | 8788 Jamacha Rd, Spring Valley, CA 91977-4035 | 2013-06-28 |
| 1477805018 | Blanca Idalia Reyes | Case Manager/Care Coordinator | 8788 Jamacha Rd, Spring Valley, CA 91977-4035 | 2012-10-05 |
| 1982972998 | Michelle Landeros | Marriage & Family Therapist | 8788 Jamacha Rd, Spring Valley, CA 91977-4035 | 2011-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710448436 | Tonetta Marie Smith | Counselor | 3322 Sweetwater Blvd, Ste 102, Spring Valley, CA 91977 | 2019-03-26 |
| 1164938080 | Tanya Renee Grant | Registered Nurse | 3536 Sweetwater Springs Blvd #d17, Spring Valley, CA 91977 | 2017-12-15 |
| 1326468034 | Michael Angelo Porter Sr. | Counselor | 3648 S Bonita St., Spring Valley, CA 91977 | 2014-04-21 |
| 1861819807 | Tara Bruton | Student in an Organized Health Care Education/Training Program | 211 Tarango Pl, Spring Valley, CA 91977 | 2014-03-27 |
| 1871835470 | Mcalister Institute for Treatment & Education, Inc. | Counselor | 8585 Blossom Lane, Room 117 and 117a, Spring Valley, CA 91977 | 2013-03-21 |
| 1992051692 | Alexander Forrest Greer | Counselor | 8585 Blossom Ln., Spring Valley, CA 91977 | 2012-07-31 |
| 1538433784 | Christopher Joseph Pittman | Rehabilitation Practitioner | 1209 San Miguel Avenue, Spring Valley, CA 91977 | 2012-03-06 |
| 1962653055 | Cherokee Personnel Services | Nursing Facility/Intermediate Care Facility | 3005 Rockcliff Ln, Spring Valley, CA 91977 | 2008-10-07 |
| 1942473665 | Victor Manuel Rendon | Pharmacy Technician | 1633 Gremlin Way, Spring Valley, CA 91977 | 2008-04-03 |
| 1568633295 | Maria V Agustin | Dentist | 645 Sweetwawter Rd., Spring Valley, CA 91977 | 2008-03-21 |
| Find all providers in zip 91977 | ||||
| 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 |
|---|---|---|---|---|
| 1952678245 | Refuah Health Center, Inc. | Clinic/Center | 5 Twin Avenue, Spring Valley, NY 10977-8916 | 2011-11-30 |
| 1669470019 | Refuah Health Center Inc | Clinic/Center | 728 N Main St, Spring Valley, NY 10977-1960 | 2005-07-11 |
| 1629613757 | Family Health Centers of San Diego, Inc | Clinic/Center | 8788 Jamacha Rd, Spring Valley, CA 91977-4035 | 2019-11-13 |
| 1700195096 | The Ben Gilman Medical Center | Clinic/Center | 175 Route 59, Spring Valley, NY 10977-5231 | 2010-10-04 |
| 1841476652 | Family Health Centers of San Diego | Clinic/Center | 8788 Jamacha Rd, Spring Valley, CA 91977-4035 | 2008-01-11 |
| 1932385747 | Family Health Centers of San Diego | Clinic/Center | 8788 Jamacha Rd, Spring Valley, CA 91977-4035 | 2008-01-11 |
| 1770789588 | Family Health Centers of San Diego, Inc. | Clinic/Center | 3845 Spring Dr, Spring Valley, CA 91977-1030 | 2007-06-27 |
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| 1508464116 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 560, Modesto, CA 95350-4573 | 2020-10-15 |
| 1134727746 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 565, Modesto, CA 95350-4500 | 2020-10-15 |
| 1083221451 | Harmony Health Medical Clinic and Family Resource Center | Clinic/Center | 1930 N. Beale Road, Marysville, CA 95901-6915 | 2020-09-29 |
| 1235745928 | Community Medical Centers Inc | Clinic/Center | 747 E Channel St, Stockton, CA 95202-2628 | 2020-09-18 |
| 1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
| 1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | SPRING VALLEY |
| Zip Code | 91977 |
Please comment or provide details below to improve the information on FAMILY HEALTH CENTERS OF SAN DIEGO, 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.