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FAMILY HEALTH CENTERS OF SAN DIEGO INC NPI 1386689701


NPI Information

NPI: 1386689701
Provider Name: FAMILY HEALTH CENTERS OF SAN DIEGO, INC

Doing Business As: BEACH AREA FAMILY HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
3705 MISSION BLVD
SAN DIEGO, CA
ZIP 92109
Phone: (619) 515-2444
Get Directions

FAMILY HEALTH CENTERS OF SAN DIEGO, INC is a federally qualified health center (fqhc) clinic center in San Diego, CA. FAMILY HEALTH CENTERS OF SAN DIEGO, INC NPI is 1386689701. The provider is registered as an organization entity type.
The provider Is Doing Business As Beach Area Family Health Center.

The provider's business location address is:

3705 MISSION BLVD
SAN DIEGO, CA
ZIP 92109-104
Phone: (619) 515-2444
Fax: (858) 488-1394

The provider's authorized official is Ricardo Roman .
The authorized official title is Cfo and has the following contact phone number (619) 515-2300.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 2/20/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)080000115CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1FHC11812GMEDICAIDCALIFORNIA
2W5352OTHERCALIFORNIAMEDICARE - NHIC

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: 4/28/2024

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