LA MAESTRA FAMILY CLINIC INC. NPI 1306929443

NPI Information

NPI: 1306929443
Provider Name: LA MAESTRA FAMILY CLINIC, INC.

Doing Business As: LA MAESTRA COMMUNITY HEALTH CENTERS

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
165 SOUTH FIRST STREET
EL CAJON, CA
ZIP 92019
Phone: (619) 312-0347
Get Directions

LA MAESTRA FAMILY CLINIC, INC. is a federally qualified health center (fqhc) clinic center in El Cajon, CA. LA MAESTRA FAMILY CLINIC, INC. NPI is 1306929443. The provider is registered as an organization entity type.
The provider Is Doing Business As La Maestra Community Health Centers.

The provider's business location address is:

165 SOUTH FIRST STREET
EL CAJON, CA
ZIP 92019
Phone: (619) 312-0347
Fax: (619) 749-5480

The provider's authorized official is Zara Marselian .
The authorized official title is Ceo and has the following contact phone number (619) 584-1612.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 12/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	EAP00011F	OTHER	CALIFORNIA	EAPC PROVIDER NUMBER
2	HAP71086F	OTHER	CALIFORNIA	SOFP PROVIDER NUMBER
3	BCP71086F	OTHER	CALIFORNIA	CDP PROVIDER NUMBER
4	FHC71086F	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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