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SAN DIEGO FAMILY CARE NPI 1457724858


NPI Information

NPI: 1457724858
Provider Name: SAN DIEGO FAMILY CARE
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 05D0570441

Address:
7011 LINDA VISTA RD
SAN DIEGO, CA
ZIP 92111
Phone: (858) 279-9676
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SAN DIEGO FAMILY CARE is a federally qualified health center (fqhc) clinic center in San Diego, CA. SAN DIEGO FAMILY CARE NPI is 1457724858. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7011 LINDA VISTA RD
SAN DIEGO, CA
ZIP 92111-307
Phone: (858) 279-9676
Fax: (858) 279-0377

The provider's authorized official is Roberta Lee Feinberg .
The authorized official title is Chief Executive Officer and has the following contact phone number (858) 279-9676.

The CLIA number assigned to this NPI record is 05D0570441 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/6/2015 and was last updated on 11/6/2015.


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
11223G0001XDentistGeneral PracticeNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.