SAN DIEGO FAMILY CARE (NPI# 1457724858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457724858 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO FAMILY CARE |
| Practice Address |
7011 Linda Vista Rd San Diego CA 92111-6307 |
| Mailing Address |
6973 Linda Vista Rd San Diego CA 92111-6342 |
| Practice Telephone | 8582799676 |
| Practice Fax Number | 8582790377 |
| Mailing Telephone | 8582799676 |
| Mailing Fax Number | 8582790377 |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2015-11-06 |
| Authorized Official Name | MS. ROBERTA LEE FEINBERG (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8582799676 |
| Authorized Official Credential | M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1306827332 | San Diego Family Care | Clinic/Center | 4290 Polk Ave, San Diego, CA 92105-1524 | 2005-11-08 |
| 1962483040 | San Diego Family Care | Clinic/Center | 4305 Univeristy Ave, Suite 150, San Diego, CA 92105-1690 | 2005-11-07 |
| 1023135373 | San Diego Family Care | Clinic/Center | 4290 Polk Avenue, San Diego, CA 92105-1524 | 2007-03-23 |
| 1730218348 | San Diego Family Care | Clinic/Center | 6973 Linda Vista Road, San Diego, CA 92111-6339 | 2007-03-02 |
| 1609905215 | San Diego Family Care | Clinic/Center | 6973 Linda Vista Road, San Diego, CA 92111-6339 | 2007-03-02 |
| 1184753790 | San Diego Family Care | Clinic/Center | 6973 Linda Vista Road, San Diego, CA 92111-6339 | 2007-03-02 |
| 1912033572 | San Diego Family Care | Clinic/Center | 4290 Polk Avenue, San Diego, CA 92105-1524 | 2007-02-26 |
| 1780665877 | San Diego Family Care | Clinic/Center | 6973 Linda Vista Rd, San Diego, CA 92111-6339 | 2005-11-07 |
| Street Address |
7011 LINDA VISTA RD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92111-6307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184679789 | Raechelle Lianne Dow | Registered Nurse | 7011 Linda Vista Rd, San Diego, CA 92111-6307 | 2006-05-23 |
| 1023653052 | Ekaterina A Fedoseeva | Dental Hygienist | 7011 Linda Vista Rd, San Diego, CA 92111-6307 | 2019-11-13 |
| 1003463811 | Margo Cohen | Nurse Practitioner | 7011 Linda Vista Rd, San Diego, CA 92111-6307 | 2019-08-26 |
| 1568028066 | Linh My Tran | Dental Hygienist | 7011 Linda Vista Rd, San Diego, CA 92111-6307 | 2019-05-10 |
| 1801353180 | Vanessa Marcela Mejares | Dental Hygienist | 7011 Linda Vista Rd, San Diego, CA 92111-6307 | 2019-02-22 |
| 1861959397 | Dieu Mi Le | Dental Hygienist | 7011 Linda Vista Rd, San Diego, CA 92111-6307 | 2019-02-20 |
| 1891279485 | Judy Thi Phan | Dental Hygienist | 7011 Linda Vista Rd, San Diego, CA 92111-6307 | 2018-09-19 |
| 1609359629 | Samuel A Zapata | Dental Hygienist | 7011 Linda Vista Rd, San Diego, CA 92111-6307 | 2018-09-14 |
| 1477030211 | Quat Van Nguyen | Dental Hygienist | 7011 Linda Vista Rd, San Diego, CA 92111-6307 | 2018-07-24 |
| 1760997472 | Phuong Uyen T Nguyen | Registered Nurse | 7011 Linda Vista Rd, San Diego, CA 92111 | 2017-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220653 | Karen Elizabeth Mitchell | Registered Nurse | County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 | 2020-06-18 |
| 1912523804 | Access Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4150 Convoy Street, Suite A, San Diego, CA 92111 | 2020-06-17 |
| 1154944551 | Mei Ling Milan Szeto | Student in an Organized Health Care Education/Training Program | 7917 Ostrow Street, Suite A, San Diego, CA 92111 | 2020-05-20 |
| 1346893831 | Leticia Isabel Peralta | Assistant Behavior Analyst | 563 Balboa Avenue. Number 521, San Diego, CA 92111 | 2019-07-23 |
| 1295204394 | Demetria Serfas | Behavioral Analyst | 563 Balboa Ave #521, San Diego, CA 92111 | 2018-11-19 |
| 1568981678 | Ross Psychology | Psychologist | 4883 Ronson Court, Suite K, San Diego, CA 92111 | 2017-09-11 |
| 1225554587 | Bianca Acosta | Technician, Other | 563 Balboa Ave. #521, San Diego, CA 92111 | 2017-08-18 |
| 1194240085 | Kazuhiro Kato | Dentist | 3707 Convoy St., San Diego, CA 92111 | 2017-08-11 |
| 1073038527 | Joanne Epps-yentz | Licensed Vocational Nurse | 7414 Mesa College Dr. Apt 47, San Diego, CA 92111 | 2017-08-06 |
| 1184158446 | Positive Behavior Supports Corp | Community/Behavioral Health | 563 Balboa Ave, 521, San Diego, CA 92111 | 2017-04-13 |
| Find all providers in zip 92111 | ||||
| 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.