LA MAESTRA FAMILY CLINIC, INC. (NPI# 1891011599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891011599 |
| Entity Type | Organization |
| Organization Name | LA MAESTRA FAMILY CLINIC, INC. |
| Other Organization Name | LA MAESTRA COMMUNITY HEALTH CENTERS-LEMON GROVE |
| Practice Address |
7967 Broadway Lemon Grove CA 91945-1809 |
| Mailing Address |
4060 Fairmount Ave San Diego CA 92105-1609 |
| Practice Telephone | 6192801105 |
| Practice Fax Number | 6192858134 |
| Mailing Telephone | 6192801105 |
| Mailing Fax Number | 6192858134 |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2010-12-14 |
| Authorized Official Name | MS. ZARA MARSELIAN (CEO) |
| 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 |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| La Maestra Community Health Centers-Lemon Grove | 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 |
| 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 |
| 1609849074 | La Maestra Family Clinic, Inc. | Clinic/Center | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2006-02-08 |
| Street Address |
7967 BROADWAY |
| City | LEMON GROVE |
| State | CA |
| Zip Code | 91945-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265501043 | Carmela Mujar Ambrosio | Dentist | 7967 Broadway, Lemon Grove, CA 91945-1809 | 2006-11-07 |
| 1851915789 | Matthew Desiderio | Student in an Organized Health Care Education/Training Program | 7967 Broadway, Lemon Grove, CA 91945-1809 | 2020-06-06 |
| 1194348565 | Jessica Tambot Kruger | Student in an Organized Health Care Education/Training Program | 7967 Broadway, Lemon Grove, CA 91945-1809 | 2020-05-20 |
| 1114549953 | Regina Isabel Chua De La Cruz | Student in an Organized Health Care Education/Training Program | 7967 Broadway, Lemon Grove, CA 91945-1809 | 2020-05-14 |
| 1649835000 | Daniel Adelpour | Student in an Organized Health Care Education/Training Program | 7967 Broadway, Lemon Grove, CA 91945-1809 | 2019-05-01 |
| 1730742115 | Richard Kim | Student in an Organized Health Care Education/Training Program | 7967 Broadway, Lemon Grove, CA 91945-1809 | 2019-04-21 |
| 1720541311 | Mindy Truong | Student in an Organized Health Care Education/Training Program | 7967 Broadway, Lemon Grove, CA 91945-1809 | 2019-04-10 |
| 1578003463 | Dina Sajed Gaggi | Dentist | 7967 Broadway, Lemon Grove, CA 91945 | 2017-02-27 |
| 1821427766 | Tina Yazdi | Dentist | 7967 Broadway, Lemon Grove, CA 91945-1809 | 2013-11-01 |
| 1306132121 | Elizabeth Mae Hollo | Physician Assistant | 7967 Broadway, Lemon Grove, CA 91945-1809 | 2011-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093347759 | Myisha Michelle Holloway-griffin | Counselor | 2409 Skyline Dr, Lemon Grove, CA 91945 | 2020-02-10 |
| 1831737626 | Jennifer Murillo | Counselor | 2049 Skyline Dr. Lemon Grove Ca, 91945, Lemon Grove, CA 91945 | 2019-12-12 |
| 1487193140 | Golden State Nem Transportation.llc | Non-emergency Medical Transport (VAN) | 7107 Broadway Unit 158, Lemon Grove, CALIFORNIA 91945 | 2017-02-14 |
| 1700323581 | Juuni Transportation | Non-emergency Medical Transport (VAN) | 7138 Westview Pl #a, Lemon Grove, CA 91945 | 2017-01-31 |
| 1568815249 | Danyelle Goldstein | Substance Abuse Rehabilitation Facility | 2049 Sklyline Dr, Lemon Grove, CA 91945 | 2016-07-19 |
| 1942550397 | Debora L Stolz | Case Manager/Care Coordinator | 3434 Lemon Grove St, Lemon Grove, CA 91945 | 2012-09-13 |
| 1336449321 | Leslie Ann Warner | Counselor | 7526 Mt. Vernon St, Lemon Grove, CA 91945 | 2010-10-25 |
| 1013235126 | Mcalister Institute | Case Management | 2049 Skyline Drive, Lemon Grove, CA 91945 | 2010-05-13 |
| 1639389554 | Jarbou & Jarbou, Inc | Secured Medical Transport (VAN) | 6975 North Ave, Lemon Grove, CA 91945 | 2007-05-22 |
| 1275656555 | Amy L Stewart | Physical Therapist | 4171 Las Palmas Square, San Diego, CA 91945 | 2007-04-09 |
| Find all providers in zip 91945 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | LEMON GROVE |
| Zip Code | 91945 |
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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.