Organization
SAN DIEGO FAMILY CARE
Active
Organization
SAN DIEGO FAMILY CARE
Active
Other names
Mid-City Community Clinic-Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBERTA LEE FEINBERG MS (CHIEF EXECUTIVE OFFICER)
(619) 563-0507
Entity
Organization
Contact information
Practice address
4305 UNIVERISTY AVE, SUITE 150, SAN DIEGO, CA 92105-1690
(619) 563-0507
(619) 563-0015
Mailing address
4305 UNIVERISTY AVE, SUITE 150, SAN DIEGO, CA 92105-1690
(619) 563-0507
(619) 563-0015
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80406
HEALTHY FAMILIES
CA
01
—
EAP11672F
EXPANDED ACESS TO PRIMARY
CA
01
—
FHC71000G
MEDI CAL FQHC
CA
Enumeration date
11/07/2005
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up