NATIONAL MEDICAL ASSOCIATION COMPREHENSIVE HEALTH CENTER NPI 1780861005

NPI Information

NPI: 1780861005
Provider Name: NATIONAL MEDICAL ASSOCIATION COMPREHENSIVE HEALTH CENTER

Other Name: NMA COMPREHENSIVE HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
120 ELM ST
SUITE 100
SAN DIEGO, CA
ZIP 92101
Phone: (619) 235-4211
Get Directions

NATIONAL MEDICAL ASSOCIATION COMPREHENSIVE HEALTH CENTER is a federally qualified health center (fqhc) clinic center in San Diego, CA. NATIONAL MEDICAL ASSOCIATION COMPREHENSIVE HEALTH CENTER NPI is 1780861005. The provider is registered as an organization entity type.
The provider Other Name Is Nma Comprehensive Health Center.

The provider's business location address is:

120 ELM ST
SUITE 100
SAN DIEGO, CA
ZIP 92101-602
Phone: (619) 235-4211
Fax: (619) 235-4517

The provider's authorized official is Michael H Owens .
The authorized official title is Ceo & Cmo and has the following contact phone number (619) 231-3200.

The enumeration date for this NPI number is 1/29/2008 and was last updated on 7/2/2008.

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	261QC1500X	Clinic/Center	Community Health	090000618	CALIFORNIA	No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	090000618	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	BCP70794F	OTHER	CALIFORNIA	MEDI-CAL

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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