FAMILY HEALTH CENTERS OF SAN DIEGO, INC (NPI# 1386689701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386689701 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CENTERS OF SAN DIEGO, INC |
| Other Organization Name | BEACH AREA FAMILY HEALTH CENTER |
| Practice Address |
3705 Mission Blvd San Diego CA 92109-7104 |
| Mailing Address |
823 Gateway Center Way San Diego CA 92102-4541 |
| Practice Telephone | 6195152444 |
| Practice Fax Number | 8584881394 |
| Mailing Telephone | 6195152300 |
| Mailing Fax Number | 6192371856 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2008-01-11 |
| Authorized Official Name | MS. LUCY SAN DIEGO-JAVATE (CFO) |
| Authorized Official Telephone | 6195152303 |
| 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 | MEDICARE - NHIC | W5352 | 01 |
| CA | FHC11812G | 05 |
| Other Name | Type Code |
|---|---|
| Beach Area Family Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952925109 | Family Health Centers of San Diego, Inc | Clinic/Center | 333 H St Ste 2010, Chula Vista, CA 91910-5556 | 2020-06-03 |
| 1043856362 | Family Health Centers of San Diego, Inc | Clinic/Center | 1401 Imperial Ave, San Diego, CA 92101-7527 | 2019-11-21 |
| 1093298879 | Family Health Centers of San Diego, Inc | Clinic/Center | 3420 College Ave, San Diego, CA 92115-7134 | 2018-09-08 |
| 1891929691 | Family Health Centers of San Diego, Inc | Clinic/Center | 7586 Broadway, Lemon Grove, CA 91945-1604 | 2009-05-07 |
| 1174549232 | Family Health Centers of San Diego, Inc | Clinic/Center | 2391 Island Avenue, San Diego, CA 92102-2918 | 2006-07-14 |
| 1982635470 | Family Health Centers of San Diego, Inc | Clinic/Center | 1643 Logan Ave, San Diego, CA 92113-1004 | 2006-07-05 |
| 1508801069 | Family Health Centers of San Diego, Inc | Clinic/Center | 8788 Jamacha Rd, Spring Valley, CA 91977-4035 | 2006-06-18 |
| 1104861681 | Family Health Centers of San Diego, Inc | Clinic/Center | 1111 W Chase Ave, El Cajon, CA 92020-5710 | 2006-06-18 |
| 1013952597 | Family Health Centers of San Diego, Inc | Clinic/Center | 2204 National Ave, San Diego, CA 92113-3615 | 2006-06-18 |
| 1336770445 | Family Health Centers of San Diego, Inc | Clinic/Center | 742 10th St, Imperial Beach, CA 91932-2216 | 2020-01-28 |
| Street Address |
3705 MISSION BLVD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92109-7104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457887911 | Rylee Scott | Family Medicine | 3705 Mission Blvd, San Diego, CA 92109-7104 | 2017-05-03 |
| 1700143799 | Julius Dang | Family Medicine | 3705 Mission Blvd, San Diego, CA 92109-7104 | 2012-04-16 |
| 1033493747 | Kelly Marie Patel | Nurse Practitioner | 3705 Mission Blvd, San Diego, CA 92109-7104 | 2011-09-30 |
| 1922380328 | Patrick Michael Fink | Physician Assistant | 3705 Mission Blvd, San Diego, CA 92109-7104 | 2011-09-13 |
| 1104002914 | Family Health Centers of San Diego | Clinic/Center | 3705 Mission Blvd, San Diego, CA 92109-7104 | 2008-01-11 |
| 1851577662 | Family Health Centers of San Diego | Clinic/Center | 3705 Mission Blvd, San Diego, CA 92109-7104 | 2008-01-11 |
| 1396956512 | Yana Gepshtein | Nurse Practitioner | 3705 Mission Blvd, San Diego, CA 92109-7104 | 2007-05-28 |
| 1306065032 | Kellsie Ann Michael | Social Worker | 3705 Mission Blvd, San Diego, CA 92109-7104 | 2007-04-24 |
| 1285772392 | Beverly S Leonard | Nurse Practitioner | 3705 Mission Blvd, San Diego, CA 92109-7104 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538620786 | San Diego Forensic Psychology Corporation | Psychologist | 4640 Cass Street, # 90422, San Diego, CA 92109 | 2019-03-29 |
| 1982113874 | Holly Mansur | Registered Nurse | 3663 Jewell Street, San Diego, CA 92109 | 2017-09-24 |
| 1669906178 | Kelley Ann Riley | Prevention Professional | 4328 Gresham St, San Diego, CA 92109 | 2017-04-12 |
| 1689113524 | Tyler Marquis | Pharmacist | 2636 Grand Avenue Apartment 326, San Diego, CA 92109 | 2017-02-13 |
| 1912372574 | Lonnie Butler | Doula | 841 Turquoise Street, F-405, San Diego, CA 92109 | 2015-12-08 |
| 1275924995 | Pratima S. Gowdar, Dds, Inc | Dentist | 4655 Cass St. Ste 104, San Diego, CA 92109 | 2015-02-17 |
| 1417388562 | Pacific Rim Pathology Medical Corporation | Clinical Medical Laboratory | 3030 Bunker Hill Street, Suite 201, San Diego, CA 92109 | 2013-11-27 |
| 1023379997 | Eric Berquist | Student in an Organized Health Care Education/Training Program | 2009 Reed Ave, San Diego, CA 92109 | 2012-06-06 |
| 1982996724 | Miramar Health Physicians Group | Acupuncturist | 1321 Garnet Avenue, San Diego, CA 92109 | 2011-05-12 |
| 1902109325 | Anna N Amagou | Behavioral Analyst | 2221 Felspar Street Apt #c, San Diego, CA 92109 | 2010-12-07 |
| Find all providers in zip 92109 | ||||
| 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.