LA MAESTRA FAMILY CLINIC, INC. (NPI# 1508949645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508949645 |
| Entity Type | Organization |
| Organization Name | LA MAESTRA FAMILY CLINIC, INC. |
| Other Organization Name | LA MAESTRA COMMUNITY HEALTH CENTERS |
| Practice Address |
217 Highland Avenue National City CA 91950 |
| Mailing Address |
4060 Fairmount Ave San Diego CA 92105 |
| Practice Telephone | 6194347308 |
| Practice Fax Number | 6194347310 |
| Mailing Telephone | 6192804213 |
| Mailing Fax Number | 6192816738 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2017-09-14 |
| Authorized Official Name | MS. ZARA MARSELIAN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6195841612 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
550000157 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | EAPC PROVIDER NUMBER | EAP00011F | 01 |
| CA | CDP PROVIDER NUMBER | BCP71142F | 01 |
| CA | SOFP PROVIDER NUMBER | HAP71142F | 01 |
| CA | FHC71142F | 05 |
| Other Name | Type Code |
|---|---|
| La Maestra Community Health Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326578774 | La Maestra Family Clinic, Inc. | Pharmacy | 165 S 1st St Ste 1b, El Cajon, CA 92019-4795 | 2017-06-19 |
| 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 |
| 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 |
217 HIGHLAND AVENUE |
| City | NATIONAL CITY |
| State | CA |
| Zip Code | 91950 |
| 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 | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275617169 | Operation Samahan, Inc. | Clinic/Center | 2835 Highland Ave, Suite A, National City, CA 91950-7412 | 2006-10-25 |
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| 1841829876 | Pacific Central Coast Health Centers | Clinic/Center | 1992 Old Mission Dr Ste 140, Solvang, CA 93463-2302 | 2020-04-02 |
| 1740812866 | Tauna Mcginnis | Clinic/Center | 1570 Soquel Dr Ste 4, Santa Cruz, CA 95065-1715 | 2020-02-06 |
| 1275173403 | United Advocates for Children and Families | Clinic/Center | 2143 Hurley Way Ste 102, Sacramento, CA 95825-3297 | 2020-01-15 |
| 1083251532 | Prime Wellness Community Health Center | Clinic/Center | 1824 1/2 W 38th Pl, Los Angeles, CA 90062-1012 | 2019-12-03 |
| Find all providers with the same taxonomy | ||||
| City | NATIONAL CITY |
| Zip Code | 91950 |
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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.