MID CITY COMMUNITY CLINIC ADULTS
NPI 1023135373
Clinic/Center - Federally Qualified Health Center (FQHC) in San Diego, CA

Q: What is San Diego Family Care's NPI number?

The NPI number for San Diego Family Care is 1023135373. It was assigned to this organization in the NPPES registry on March 23, 2007. The provider is doing business as Mid City Community Clinic Adults.

Q: What is San Diego Family Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since March 23, 2007CLIA Certified · 4 labs

4290 POLK AVENUE, SAN DIEGO, CA 92105(619) 563-0507(619) 563-0015 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mid City Community Clinic Adults NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MID CITY COMMUNITY CLINIC ADULTS (NPI 1023135373) is a healthcare organization registered as a federally qualified health center (fqhc) in San Diego, California and active in the NPI registry since March 2007. The organization holds 4 active CLIA laboratory certificates and lists Roberta Lee Feinberg, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1023135373

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSAN DIEGO FAMILY CARE

Location Address4290 POLK AVENUESan Diego, CA 92105-1524

Mailing Address6973 Linda Vista RoadSan Diego, CA 92111-6339 · (858) 279-9676 · Fax (858) 279-0377

Phone(619) 563-0507

Fax(619) 563-0015

Organization SubpartNo

Authorized OfficialRoberta Lee FeinbergChief Executive Officer · (858) 279-9676

Enumeration DateMarch 23, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1023135373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

4290 POLK AVENUE, San Diego, CA 92105

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Other Names 1

Doing Business AsMid City Community Clinic Adults

Other Identifiers 1

OtherBCP 11882 GCA · Breast Cancer Program

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0570441

San Diego Family Care Dba Linda Vista Health Care Center · San Diego, CA

Active · expires Aug 31, 2026

CLIA Number05D0570441

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorAaron Zaheer

Laboratory Phone(858) 279-9676

Laboratory LocationSan Diego Family Care Dba Linda Vista Health Care Center6973 Linda Vista Road, San Diego, CA 92111

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 05D0569878

San Diego Family Care Mid-City Community Clinic · San Diego, CA

Active · expires Dec 22, 2027

CLIA Number05D0569878

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateDecember 23, 2025

Certificate Expiration DateDecember 22, 2027

Laboratory DirectorDiana L. Marquardt

Laboratory Phone(619) 563-0250

Laboratory LocationSan Diego Family Care Mid-City Community Clinic4290 Polk Ave, San Diego, CA 92105

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D1048748

San Diego Family Care Mid City Community Clinic Hiv Testing · San Diego, CA

Active · expires Dec 8, 2027

CLIA Number05D1048748

Laboratory TypeCommunity Clinic

Certificate Effective DateDecember 9, 2025

Certificate Expiration DateDecember 8, 2027

Laboratory DirectorDiana Marquardt

Laboratory Phone(619) 563-0250

Laboratory LocationSan Diego Family Care Mid City Community Clinic Hiv Testing4290 Polk Ave, San Diego, CA 92105

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2107746

San Diego Family Care · San Diego, CA

Active · expires Jan 20, 2028

CLIA Number05D2107746

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateJanuary 21, 2026

Certificate Expiration DateJanuary 20, 2028

Laboratory DirectorJacqueline N. Marston Do

Laboratory Phone(858) 810-8700

Laboratory LocationSan Diego Family Care7011 Linda Vista Rd, San Diego, CA 92111

CLIA data matches this NPI record on: Name

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LINNEA BELLE DALEY R.N.

Registered Nurse