FAMILY HEALTH CENTERS OF SAN DIEGO INC NPI 1700821303

NPI Information

NPI: 1700821303
Provider Name: FAMILY HEALTH CENTERS OF SAN DIEGO, INC

Doing Business As: NORTH PARK FAMILY HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
3544 30TH ST
SAN DIEGO, CA
ZIP 92104
Phone: (619) 515-2424
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 1700821303. The provider is registered as an organization entity type.
The provider Is Doing Business As North Park Family Health Center.

The provider's business location address is:

3544 30TH ST
SAN DIEGO, CA
ZIP 92104-120
Phone: (619) 515-2424
Fax: (619) 683-7570

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 05D0895432 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 2/19/2024.

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)	090000469	CALIFORNIA	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	CGP162351	OTHER	CALIFORNIA	GHPP
2	FHC70583F	MEDICAID	CALIFORNIA
3	W5352A	OTHER	CALIFORNIA	MEDICARE PART B

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

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.

« Previous NPI

Next NPI »