FAMILY HEALTH CENTERS OF SAN DIEGO INC NPI 1538590781

NPI Information

NPI: 1538590781
Provider Name: FAMILY HEALTH CENTERS OF SAN DIEGO INC

Doing Business As: FIFTH AVENUE BEHAVIORAL HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1750 5TH AVE
SAN DIEGO, CA
ZIP 92101
Phone: (619) 515-2588
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 1538590781. The provider is registered as an organization entity type.
The provider Is Doing Business As Fifth Avenue Behavioral Health Center.

The provider's business location address is:

1750 5TH AVE
SAN DIEGO, CA
ZIP 92101-754
Phone: (619) 515-2588
Fax: (619) 450-6267

The provider's authorized official is Ricardo Roman .
The authorized official title is Cfo and has the following contact phone number (619) 906-4603.

The CLIA number assigned to this NPI record is 05D2286449 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2013 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally 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

NPI Synchronization or Removal

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