LA MAESTRA FAMILY CLINIC (NPI# 1790961639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790961639 |
| Entity Type | Organization |
| Organization Name | LA MAESTRA FAMILY CLINIC |
| Other Organization Name | LA MAESTRA COMMUNITY HEALTH CENTERS |
| Practice Address |
165 S 1st St El Cajon CA 92019-4795 |
| Mailing Address |
4060 Fairmount Ave San Diego CA 92105-1609 |
| Practice Telephone | 6163120347 |
| Practice Fax Number | 6197495480 |
| Mailing Telephone | 6192801105 |
| Mailing Fax Number | 6192858134 |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2010-09-16 |
| Authorized Official Name | MRS. ZARA MARSELIAN (CEO) |
| Authorized Official Telephone | 6195841612 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
090000679 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CDP CANCER DETECTION PROG | BCP71086F | 01 |
| Other Name | Type Code |
|---|---|
| LA MAESTRA COMMUNITY HEALTH CENTERS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497932701 | La Maestra Family Clinic | Clinic/Center | 4185 Fairmount Ave, San Diego, CA 92105-1609 | 2008-01-29 |
| 1336324904 | La Maestra Family Clinic | Clinic/Center | 101 N Highland Ave, Suite A, National City, CA 91950-1400 | 2008-01-02 |
| 1124205430 | La Maestra Family Clinic | Clinic/Center | 4060 Fairmount Ave, San Diego, CA 92105-1609 | 2008-01-29 |
| 1033396346 | La Maestra Family Clinic | Clinic/Center | 4185 Fairmount Ave, San Diego, CA 92105-1609 | 2008-01-29 |
| 1053526756 | La Maestra Family Clinic | Clinic/Center | 101 N Highland Ave Ste A, National City, CA 91950-1435 | 2007-05-14 |
| 1780899484 | La Maestra Family Clinic | Clinic/Center | 165 S 1st St, El Cajon, CA 92019-4795 | 2007-05-14 |
| 1336353721 | La Maestra Family Clinic | Clinic/Center | 4060 Fairmount Ave, San Diego, CA 92105-1609 | 2007-05-09 |
| Street Address |
165 S 1ST ST |
| City | EL CAJON |
| State | CA |
| Zip Code | 92019-4795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598757270 | Jill Frances Milton | Nurse Practitioner | 165 S 1st St, El Cajon, CA 92019-4795 | 2005-08-18 |
| 1801459250 | Zeyad Elia | Pharmacist | 165 S 1st St, El Cajon, CA 92019-4795 | 2019-04-20 |
| 1023418589 | Jessica Tooma | Marriage & Family Therapist | 165 S 1st St, El Cajon, CA 92019-4795 | 2014-09-02 |
| 1932452323 | Aurora Berenice Verduzco Gonzalez | Registered Nurse | 165 S 1st St, El Cajon, CA 92019-4795 | 2012-10-22 |
| 1922363977 | Nenette Brown | Nurse Practitioner | 165 S 1st St, El Cajon, CA 92019-4795 | 2012-07-05 |
| 1477832582 | David Louis Lorenz | Internal Medicine | 165 S 1st St, El Cajon, CA 92019-4795 | 2011-08-05 |
| 1780899484 | La Maestra Family Clinic | Clinic/Center | 165 S 1st St, El Cajon, CA 92019-4795 | 2007-05-14 |
| 1679792733 | Yadira R. Ulrey | Internal Medicine | 165 S 1st St, El Cajon, CA 92019-4795 | 2007-04-25 |
| 1265580112 | Teri L. Kunin-rida | Family Medicine | 165 S 1st St, El Cajon, CA 92019-4795 | 2007-01-08 |
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| 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 |
| 1134590086 | La Maestra Family Clinic Inc | Clinic/Center | 1032 Broadway, El Cajon, CA 92021-7416 | 2015-10-16 |
| 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 |
| 1760667950 | Neighborhood Healthcare | Clinic/Center | 855 E Madison Ave, El Cajon, CA 92020-3819 | 2008-01-07 |
| Find all providers in EL CAJON | ||||
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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.