LA MAESTRA FAMILY CLINIC (NPI# 1053526756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053526756 |
| Entity Type | Organization |
| Organization Name | LA MAESTRA FAMILY CLINIC |
| Other Organization Name | LA MAESTRA COMMUNITY HEALTH CENTERS |
| Practice Address |
101 N Highland Ave Ste A National City CA 91950-1435 |
| Mailing Address |
4185 Fairmount Ave San Diego CA 92105-1609 |
| Practice Telephone | 6194347308 |
| Practice Fax Number | 6194347310 |
| Mailing Telephone | 6195841612 |
| Mailing Fax Number | 6192816738 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. 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) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FAMILY PACT PROVIDER # | HAP71142F | 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 |
| 1790961639 | La Maestra Family Clinic | Clinic/Center | 165 S 1st St, El Cajon, CA 92019-4795 | 2008-01-10 |
| 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 |
101 N HIGHLAND AVE STE A |
| City | NATIONAL CITY |
| State | CA |
| Zip Code | 91950-1435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447472212 | Harrsha Thirunagari | Pediatrics | 101 N Highland Ave Ste A, National City, CA 91950-1435 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082350 | Good Samaritan Home Health Care, Inc. | Home Health | 3403 E Plaza Blvd., Unit K, National City, CA 91950 | 2020-08-06 |
| 1316439631 | Progressive Sleep Center A Medical Corporation | Family Medicine | 502 Euclid Ave Ste 302, National City, CA 91950 | 2018-06-01 |
| 1275997074 | Dr Joshua Sameer Pal, Md Corporation | Pain Medicine | 3142 E. Plaza Blvd., Suite T, National City, CA 91950 | 2016-04-07 |
| 1780046672 | Carmen Velazquez Md Inc | Internal Medicine | 2575 East Eight Street, National City, CA 91950 | 2016-03-22 |
| 1598126856 | Valderene Da Paixao Passos Waian | Counselor | 2414 Hoover Avenue, San Diego, CA 91950 | 2016-03-15 |
| 1215247879 | Paulina G Quintana M D Inc | Pathology | 2400 E 4th Street, National City, CA 91950 | 2010-10-18 |
| 1679807069 | Renato David Reyes | Dentist | 1625 Sweetwater Road, Suite G1, National City, CA 91950 | 2009-10-01 |
| 1376774349 | Antioquia Dental Care, Inc. | Dentist | 1727 Sweetwater Road, Suite Q, National City, CA 91950 | 2009-08-07 |
| 1336378371 | James T Kim | Internal Medicine | 502 Euclid Ave Ste 104, National City, CA 91950 | 2009-07-13 |
| 1477700730 | Eusebio Dental Corporation | Dentist | 1127 Highland Avenue, National City, CA 91950 | 2008-08-19 |
| Find all providers in zip 91950 | ||||
| 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 |
|---|---|---|---|---|
| 1851757215 | Centro De Salud De La Comunidad De San Ysidro, Inc. | Clinic/Center | 330-340 E. 8th St, National City, CA 91950-2312 | 2016-01-14 |
| 1205134517 | Operation Samahan, Inc. | Clinic/Center | 2101 Granger Ave, Suite 101a, National City, CA 91950-6208 | 2011-03-10 |
| 1336324904 | La Maestra Family Clinic | Clinic/Center | 101 N Highland Ave, Suite A, National City, CA 91950-1400 | 2008-01-02 |
| 1801907449 | Operation Samahan, Inc. | Clinic/Center | 2743 Highland Ave, National City, CA 91950-7410 | 2006-08-31 |
| 1003869363 | Centro De Salud De La Comunidad De San Ysidro, Inc. | Clinic/Center | 1136 D Avenue, National City, CA 91950 | 2006-05-18 |
| 1417409228 | Family Health Centers of San Diego, Inc. | Clinic/Center | 1000 Euclid Ave, National City, CA 91950-3856 | 2016-10-27 |
| 1528331287 | Family Health Centers of San Diego Inc | Clinic/Center | 1000 Euclid Ave, National City, CA 91950-3856 | 2012-02-10 |
| 1598907487 | Centro De Salud De La Comunidad De San Ysidro, Inc. | Clinic/Center | 2400 E 8th St, Suite # A, National City, CA 91950-2956 | 2009-03-24 |
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| Find all providers with the same taxonomy | ||||
| City | NATIONAL CITY |
| Zip Code | 91950 |
Please comment or provide details below to improve the information on LA MAESTRA FAMILY CLINIC.
| 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.