Provider Type Icon

FAMILY HEALTH CENTERS OF SAN DIEGO NPI 1962676064


NPI Information

NPI: 1962676064
Provider Name: FAMILY HEALTH CENTERS OF SAN DIEGO

Doing Business As: DIAMOND NEIGHBORHOODS FAMILY HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
4725 MARKET ST
SAN DIEGO, CA
ZIP 92102
Phone: (619) 515-2326
Get Directions

FAMILY HEALTH CENTERS OF SAN DIEGO is a federally qualified health center (fqhc) clinic center in San Diego, CA. FAMILY HEALTH CENTERS OF SAN DIEGO NPI is 1962676064. The provider is registered as an organization entity type.
The provider Is Doing Business As Diamond Neighborhoods Family Health Center.

The provider's business location address is:

4725 MARKET ST
SAN DIEGO, CA
ZIP 92102-715
Phone: (619) 515-2326
Fax: (619) 683-7570

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

The enumeration date for this NPI number is 4/18/2008 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)550000465CALIFORNIAYes

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
1HAP71172FOTHERCALIFORNIAFAMILY PACT/SOFP

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.