| NPI | 1053597864 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2008-01-11 |
| Last Updated | 2024-02-20 |
| Authorized Official | Ricardo Roman CFO Phone: 6195152300 |
| Mailing Address | 823 Gateway Center Way San Diego, CA 92102-4541 United States Phone: (619) 515-2300 | Fax: (619) 683-7570 📍 View Map |
| Primary Practice Address | 3544 30th St San Diego, CA 92104-4120 United States Phone: (619) 515-2300 | Fax: (619) 683-7570 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | CA | BCP70583F | CDP |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC) | CA | 090000469 |
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About NPI 1053597864
Family Health Centers Of San Diego is an organization registered in the CMS NPPES NPI Registry with NPI number 1053597864. The primary specialty listed is Clinic/Center, Federally Qualified Health Center (FQHC). The organization is located in San Diego, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-01-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053597864?
NPI 1053597864 belongs to Family Health Centers Of San Diego, a Clinic/Center, Federally Qualified Health Center (FQHC) in San Diego, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053597864 active?
The current status of NPI 1053597864 in the NPPES registry is Active. The record was last updated on 2024-02-20.
What specialty is NPI 1053597864?
NPI 1053597864 is classified under the taxonomy Clinic/Center, Federally Qualified Health Center (FQHC). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053597864?
You can verify NPI 1053597864 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053597864?
The primary practice address on file for NPI 1053597864 is 3544 30th St, San Diego, CA 92104-4120. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053597864 issued?
NPI 1053597864 was first issued (enumerated) on 2008-01-11. The NPPES record was last updated on 2024-02-20.
Practice Location Map
Family Health Centers Of San Diego is located at 3544 30th St, San Diego, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Family Health Centers Of San Diego. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1053597864. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Clinic/Center, Federally Qualified Health Center (FQHC) | 090000469 | CA |