LA MAESTRA FAMILY CLINIC, INC. (NPI# 1326578774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326578774 |
| Entity Type | Organization |
| Organization Name | LA MAESTRA FAMILY CLINIC, INC. |
| Other Organization Name | LA MAESTRA COMMUNITY PHARMACY EL CAJON |
| Practice Address |
165 S 1st St Ste 1b El Cajon CA 92019-4795 |
| Mailing Address |
4060 Fairmount Ave San Diego CA 92105-1608 |
| Practice Telephone | 6195841612 |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2017-06-19 |
| Authorized Official Name | TOM VU (DIRECTOR OF CORPORATE COMPLIANCE) |
| Authorized Official Telephone | 6199724165 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
55271 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC70472G | 05 |
| Other Name | Type Code |
|---|---|
| LA MAESTRA COMMUNITY PHARMACY EL CAJON | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912301110 | La Maestra Family Clinic, Inc. | Physician Assistant | 259 Seldovia Street, Box 206, Seldovia, AK 99663-0206 | 2014-10-16 |
| 1265831960 | La Maestra Family Clinic, Inc. | Clinic/Center | 4171 Fairmount Ave, San Diego, CA 92105-1609 | 2014-08-19 |
| 1508949645 | La Maestra Family Clinic, Inc. | Clinic/Center | 217 Highland Avenue, National City, CA 91950 | 2006-10-23 |
| 1073177739 | La Maestra Family Clinic, Inc. | Clinic/Center | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2019-04-29 |
| 1467950550 | La Maestra Family Clinic, Inc. | Pharmacy | 209 Highland Ave, National City, CA 91950-1518 | 2018-01-24 |
| 1467718791 | La Maestra Family Clinic, Inc. | Clinic/Center | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2012-04-11 |
| 1891011599 | La Maestra Family Clinic, Inc. | Clinic/Center | 7967 Broadway, Lemon Grove, CA 91945-1809 | 2010-04-20 |
| 1609849074 | La Maestra Family Clinic, Inc. | Clinic/Center | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2006-02-08 |
| Street Address |
165 S 1ST ST STE 1B |
| City | EL CAJON |
| State | CA |
| Zip Code | 92019-4795 |
| 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 | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487949319 | Entag Inc | Pharmacy | 1685 E Main St Ste 103, El Cajon, CA 92021-5225 | 2011-06-20 |
| 1063527216 | Pjn Pharmacies Inc | Pharmacy | 455 N Magnolia Ave, El Cajon, CA 92020-3606 | 2006-08-20 |
| 1558390732 | Danmat Corporation | Pharmacy | 505 N Mollison Ave # 101, El Cajon, CA 92021-6159 | 2006-07-01 |
| 1912942913 | Garfield Beach Cvs LLC | Pharmacy | 426 E Chase Ave, El Cajon, CA 92020-6409 | 2006-06-17 |
| 1467496737 | Garfield Beach Cvs LLC | Pharmacy | 2760 Fletcher Pkwy, El Cajon, CA 92020-2110 | 2006-06-16 |
| 1821619271 | Dib Pharmaceutical Inc | Pharmacy | 528 E Main St, El Cajon, CA 92020-4008 | 2020-04-27 |
| 1497393540 | Family Pharmacy Center Inc. | Pharmacy | 220 W Main St Ste 102, El Cajon, CA 92020-3462 | 2019-12-19 |
| 1619343357 | Talami International Inc | Pharmacy | 505 N Mollison Ave, Suite 102, El Cajon, CA 92021-6159 | 2015-08-17 |
| 1083786867 | Entag Inc | Pharmacy | 1685 E Main St, Ste 101, El Cajon, CA 92021-5225 | 2006-11-15 |
| 1376558650 | Walgreen Co | Pharmacy | 215 N 2nd St, El Cajon, CA 92021-7243 | 2006-07-29 |
| 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.