FAMILY HEALTH CENTERS OF SAN DIEGO INC (NPI# 1639588650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639588650 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CENTERS OF SAN DIEGO INC |
| Other Organization Name | KIDCARE EXPRESS II |
| Practice Address |
823 Gateway Center Way San Diego CA 92102-4541 |
| Practice Telephone | 6195152300 |
| Practice Fax Number | 6192371856 |
| Mailing Telephone | 6195152300 |
| Mailing Fax Number | 6192371856 |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2014-08-04 |
| Authorized Official Name | MR. RICARDO ROMAN (CFO) |
| Authorized Official Telephone | 6199064603 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
090000668 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | 551910 | 01 |
| Other Name | Type Code |
|---|---|
| KidCare Express II | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235521782 | Family Health Centers of San Diego Inc | Clinic/Center | 2325 Commercial St, Ste 1400, San Diego, CA 92113-1189 | 2015-02-20 |
| 1952729303 | Family Health Centers of San Diego Inc | Clinic/Center | 1550 Broadway, Suite 2, San Diego, CA 92101 | 2014-04-02 |
| 1770929101 | Family Health Centers of San Diego Inc | Clinic/Center | 1250 6th Avenue, Suite 100, San Diego, CA 92101-4368 | 2013-05-13 |
| 1316419070 | Family Health Centers of San Diego Inc | Clinic/Center | 140 Elm St, San Diego, CA 92101-2602 | 2018-12-19 |
| 1285173765 | Family Health Centers of San Diego Inc | Clinic/Center | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2017-02-17 |
| 1023462066 | Family Health Centers of San Diego Inc | Clinic/Center | 248 Landis Ave, Chula Vista, CA 91910-2609 | 2016-04-15 |
| 1336525906 | Family Health Centers of San Diego Inc | Clinic/Center | 5160 Federal Blvd, San Diego, CA 92105-5429 | 2015-08-06 |
| 1629456900 | Family Health Centers of San Diego Inc | Clinic/Center | 4094 4th Ave, San Diego, CA 92103-2143 | 2015-05-07 |
| 1356750376 | Family Health Centers of San Diego Inc | Clinic/Center | 1550 Broadway, Suite 2, San Diego, CA 92101-5713 | 2014-08-04 |
| 1649689662 | Family Health Centers of San Diego Inc | Clinic/Center | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2014-08-04 |
| Street Address |
823 GATEWAY CENTER WAY |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92102-4541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609863968 | Johanna Green-jacob | Nurse Practitioner | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2005-10-03 |
| 1376104570 | Joyce Catherine Neville | Speech-Language Pathologist | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2019-06-27 |
| 1508426529 | Fatimah Nadimi | Counselor | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2019-06-20 |
| 1700440781 | Family Health Centers of San Diego, Inc. | Clinic/Center | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2019-04-25 |
| 1619531696 | Family Health Centers of San Diego, Inc. | Clinic/Center | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2019-04-25 |
| 1952863631 | Danielle Julia Sills | Counselor | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2019-04-02 |
| 1275098626 | Maria Josefa Dorronsoro | Counselor | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2019-02-08 |
| 1104397934 | Lakiesha Maria Wilks | Social Worker | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2018-12-05 |
| 1366911901 | Leticia Isabel Rico-raya | Marriage & Family Therapist | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2018-11-13 |
| 1871061812 | Carmen Elia Suarez | Counselor | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2018-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766698 | Daniela Tablas | Behavioral Analyst | 303 47th St Spc D-22, San Diego, CA 92102 | 2020-09-30 |
| 1649745712 | Juliet Lao Kurek | Pharmacist | 2121 Imperial Avenue, San Diego, CA 92102 | 2018-10-04 |
| 1851887020 | Monique Joseph | Counselor | 2410 E. Street, San Diego, CA 92102 | 2018-07-10 |
| 1184166316 | Elise Blanton-hubbard | Counselor | 1850 Dale St, San Diego, CA 92102 | 2016-11-04 |
| 1699221416 | Kari Judith Medina | Student in an Organized Health Care Education/Training Program | 1199 34th Street Apt 11, San Diego, CA 92102 | 2016-08-31 |
| 1942674536 | Caitlin Hillary Dablow | Speech-Language Pathologist | 1201 34th Street, San Diego, CA 92102 | 2015-11-19 |
| 1134508179 | Jonathan Waters | Military Health Care Provider | 1233 22nd Street, Unit 8, San Diego, CA 92102 | 2015-05-22 |
| 1871989913 | Abraham Greenberg | Pediatrics | 15 Balfour Street, Jerusalem, ISRAEL 92102 | 2015-04-15 |
| 1023421021 | Elmira Aghdam | Chiropractor | 5030 Bonita Rd Ste#b, Bonita, CA 92102 | 2014-06-06 |
| 1487092540 | Sherry Scott | Marriage & Family Therapist | 995 Gateway Center Drive #300, San Diego, CA 92102 | 2013-06-11 |
| Find all providers in zip 92102 | ||||
| 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.