NMA COMPREHENSIVE HEALTH CENTER (NPI# 1013194323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013194323 |
| Entity Type | Organization |
| Organization Name | NMA COMPREHENSIVE HEALTH CENTER |
| Practice Address |
3177 Ocean View Blvd San Diego CA 92113-1432 |
| Mailing Address |
446 26th St Suite 101 San Diego CA 92102-3026 |
| Practice Telephone | 6192319300 |
| Practice Fax Number | 6192325922 |
| Mailing Telephone | 6192313200 |
| Mailing Fax Number | 6192313212 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |
| Authorized Official Name | DR. MICHAEL H OWENS (CEO & CMO) |
| Authorized Official Telephone | 6192313200 |
| Authorized Official Credential | MD, MPH, FACPE, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
090000143 | CA | Ambulatory Health Care Facilities |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
090000143 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | EAP11998G | 01 |
| Street Address |
3177 OCEAN VIEW BLVD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92113-1432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407855828 | Emily Christine Rall | Physician Assistant | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2005-07-18 |
| 1124680061 | Joshua Dan Herrera | Health Educator | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2019-07-01 |
| 1619458213 | Kim Long Thi Vo | Pharmacist | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2018-08-22 |
| 1033622238 | Rhiannon Cardeiro | Dental Hygienist | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2017-11-09 |
| 1063945657 | Alejandra Melissa Morales | Family Medicine | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2017-04-10 |
| 1912438250 | Michaela Staley | Family Medicine | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2017-03-27 |
| 1689037111 | Amanda Karla Dappen | Family Medicine | 3177 Ocean View Blvd, San Diego, CA 92113 | 2016-04-01 |
| 1821467655 | Samantha Anne Melzer | Dentist | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2015-09-23 |
| 1255747374 | Raechel Taylor | Student in an Organized Health Care Education/Training Program | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2014-07-09 |
| 1043631492 | Joseph Paul Stephen Mayer | Social Worker | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2014-01-02 |
| Find all providers in the same location | ||||
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856362 | Family Health Centers of San Diego, Inc | Clinic/Center | 1401 Imperial Ave, San Diego, CA 92101-7527 | 2019-11-21 |
| 1245893072 | Mountain Health & Community Services, Inc. | Clinic/Center | 4440 Euclid Ave Ste C, San Diego, CA 92115-4522 | 2019-04-17 |
| 1093298879 | Family Health Centers of San Diego, Inc | Clinic/Center | 3420 College Ave, San Diego, CA 92115-7134 | 2018-09-08 |
| 1386158483 | Operation Samahan, Inc. | Clinic/Center | 10737 Camino Ruiz Ste 138, San Diego, CA 92126-2361 | 2017-11-28 |
| 1386168193 | San Diego Family Care | Clinic/Center | 6979 Linda Vista Rd, San Diego, CA 92111-6342 | 2017-08-02 |
| 1841714656 | San Diego Family Care | Clinic/Center | 6985 Linda Vista Rd, San Diego, CA 92111-6342 | 2017-08-02 |
| 1699216622 | Operation Samahan Inc | Clinic/Center | 9995 Carmel Mountain Rd, Suite B10 & B11, San Diego, CA 92129-2889 | 2017-03-09 |
| 1235521782 | Family Health Centers of San Diego Inc | Clinic/Center | 2325 Commercial St, Ste 1400, San Diego, CA 92113-1189 | 2015-02-20 |
| 1265831960 | La Maestra Family Clinic, Inc. | Clinic/Center | 4171 Fairmount Ave, San Diego, CA 92105-1609 | 2014-08-19 |
| 1952729303 | Family Health Centers of San Diego Inc | Clinic/Center | 1550 Broadway, Suite 2, San Diego, CA 92101 | 2014-04-02 |
| 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.