FAMILY HEALTH CENTERS OF SAN DIEGO INC (NPI# 1023462066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023462066 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CENTERS OF SAN DIEGO INC |
| Other Organization Name | CHULA VISTA FAMILY COUNSELING CENTER |
| Practice Address |
248 Landis Ave Chula Vista CA 91910-2609 |
| Mailing Address |
823 Gateway Center Way San Diego CA 92102-4541 |
| Practice Telephone | 6195152562 |
| Practice Fax Number | 6192690115 |
| Mailing Telephone | 6195152300 |
| Mailing Fax Number | 6192371856 |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2016-11-15 |
| Authorized Official Name | MR. RICARDO ROMAN (CFO) |
| Authorized Official Telephone | 6199064603 |
| 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 | NORIDIAN MEDICARE | 751865 | 01 |
| Other Name | Type Code |
|---|---|
| CHULA VISTA FAMILY COUNSELING CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235521782 | Family Health Centers of San Diego Inc | Clinic/Center | 2325 Commercial St, Ste 1400, San Diego, CA 92113-1189 | 2015-02-20 |
| 1952729303 | Family Health Centers of San Diego Inc | Clinic/Center | 1550 Broadway, Suite 2, San Diego, CA 92101 | 2014-04-02 |
| 1770929101 | Family Health Centers of San Diego Inc | Clinic/Center | 1250 6th Avenue, Suite 100, San Diego, CA 92101-4368 | 2013-05-13 |
| 1316419070 | Family Health Centers of San Diego Inc | Clinic/Center | 140 Elm St, San Diego, CA 92101-2602 | 2018-12-19 |
| 1285173765 | Family Health Centers of San Diego Inc | Clinic/Center | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2017-02-17 |
| 1336525906 | Family Health Centers of San Diego Inc | Clinic/Center | 5160 Federal Blvd, San Diego, CA 92105-5429 | 2015-08-06 |
| 1629456900 | Family Health Centers of San Diego Inc | Clinic/Center | 4094 4th Ave, San Diego, CA 92103-2143 | 2015-05-07 |
| 1356750376 | Family Health Centers of San Diego Inc | Clinic/Center | 1550 Broadway, Suite 2, San Diego, CA 92101-5713 | 2014-08-04 |
| 1649689662 | Family Health Centers of San Diego Inc | Clinic/Center | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2014-08-04 |
| 1639588650 | Family Health Centers of San Diego Inc | Clinic/Center | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2014-08-04 |
| Street Address |
248 LANDIS AVE |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91910-2609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245399179 | Eden Brown | Social Worker | 248 Landis Ave, Chula Vista, CA 91910 | 2006-12-06 |
| 1487937330 | Radomir M Avila | Counselor | 248 Landis Ave, Chula Vista, CA 91910-2609 | 2011-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194264 | Joshua Maurice Hayden | Dental Hygienist | 678 Thrid Ave, Chula Vista, CA 91910 | 2019-10-02 |
| 1255980504 | Samantha Bernaldo | Dental Hygienist | 668 Third Ave, Chula Vista, CA 91910 | 2019-09-10 |
| 1073179529 | Roshni Kakaiya | Student in an Organized Health Care Education/Training Program | 435 H Street, Cv112, Chula Vista, CA 91910 | 2019-05-09 |
| 1598232506 | Naria Le Mire | Dietitian, Registered | 288 Broadway #141a, Chula Vista, CA 91910 | 2018-10-28 |
| 1730676727 | Pei Chi Chain | Optometrist | 324 F Street., Chula Vista, CA 91910 | 2018-04-16 |
| 1104332741 | Teodoro David Pena | Dentist | 510 Broadway Ste 4-5, Chula Vista, CA 91910 | 2017-12-19 |
| 1538684865 | Camille Cooke | Counselor | 430 F. Street, Chula Vista, CA 91910 | 2017-08-08 |
| 1184146094 | Alexandra Lynn Scovill | Optometrist | Castillejos Eye Institute Medical Group, 342 F Street, Chula Vista, CA 91910 | 2017-07-12 |
| 1396270583 | Tam Trieu | Pharmacist | 555 Broaway Suite 1054, Chula Vista, CA 91910 | 2017-04-25 |
| 1548792815 | Sabrina Owens | Family Medicine | 499 H Street Cv112, Chula Vista, CA 91910 | 2017-03-28 |
| Find all providers in zip 91910 | ||||
| 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 |
|---|---|---|---|---|
| 1366053167 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 333 H St Ste 2080, Chula Vista, CA 91910-5558 | 2020-08-14 |
| 1952925109 | Family Health Centers of San Diego, Inc | Clinic/Center | 333 H St Ste 2010, Chula Vista, CA 91910-5556 | 2020-06-03 |
| 1295228328 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 880 Third Ave Ste A, Chula Vista, CA 91911 | 2018-06-13 |
| 1356750657 | Centro De Salud De La Comunidad De San Ysidro, Inc. | Clinic/Center | 1058 3rd Ave, Chula Vista, CA 91911-2009 | 2014-08-12 |
| 1497178750 | Family Health Centers of San Diego | Clinic/Center | 352 E L St, Chula Vista, CA 91911-1523 | 2014-01-22 |
| 1922051812 | Centro De Salud De La Comunidad De San Ysidro, Inc. | Clinic/Center | 1637 3rd Ave Ste B, Chula Vista, CA 91911-5823 | 2006-05-19 |
| 1952915878 | Centro De Salud De La Comunidad De San Ysidro Inc | Clinic/Center | 880 3rd Ave, Chula Vista, CA 91911-1305 | 2020-09-08 |
| 1376195040 | Centro De Salud De La Comunidad De San Ysidro, Inc. | Clinic/Center | 880 3rd Ave, Chula Vista, CA 91911-1305 | 2019-07-12 |
| 1184135873 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 855 3rd Ave Ste 2200, Chula Vista, CA 91911-1353 | 2017-10-20 |
| 1326486861 | Centro De Salud De La Comunidad De San Ysidro, Inc. | Clinic/Center | 678 3rd Ave, Chula Vista, CA 91910-5736 | 2013-06-06 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91910 |
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.