LA MAESTRA FAMILY CLINIC, INC.
NPI 1073177739
Clinic/Center - Health Service in San Diego, CA

NPI Status: Active since April 29, 2019

Contact Information

4060 FAIRMOUNT AVE
SAN DIEGO, CA
ZIP 92105
Phone: (619) 584-1612
Fax: (619) 281-6738

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  • Organization
  • Clinic/Center
  • Health Service

About LA MAESTRA FAMILY CLINIC, INC.

This page provides the complete NPI Profile along with additional information for La Maestra Family Clinic, Inc., a provider established in San Diego, California operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1073177739 assigned on April 2019. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Tom Vu (Chief Of Corporate Compliance)

NPI
1073177739
Provider Name
LA MAESTRA FAMILY CLINIC, INC.
Entity Type
Organization
Location Address
4060 FAIRMOUNT AVE SAN DIEGO, CA 92105
Location Phone
(619) 584-1612
Location Fax
(619) 281-6738
Mailing Address
4060 FAIRMOUNT AVE SAN DIEGO, CA 92105
Mailing Phone
(619) 584-1612
Mailing Fax
(619) 281-6738
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-29-2019
Last Update Date
06-11-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TOM VU

Authorized Official Title
CHIEF OF CORPORATE COMPLIANCE
Authorized Official Phone
(619) 269-1292

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
FHC70472GMEDICAID (05)CA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073177739, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
3
Doubled → 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 1 → 2 7 → 14 → 5 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 2 + 7 + 1 + 4 + 7 + 6 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1073177739.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Pediatrics
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Dentist (General Practice)
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Nurse Practitioner (Obstetrics & Gynecology)
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Clinic/Center (Federally Qualified Health Center (FQHC))
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Clinic/Center (Federally Qualified Health Center (FQHC))
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Physician Assistant (Medical)
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Clinic/Center (Community Health)
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Social Worker (Clinical)
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Clinic/Center (Federally Qualified Health Center (FQHC))
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Pharmacist
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Specialist
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Dentist
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Dentist
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Physician Assistant
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Radiology (Diagnostic Radiology)
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Dentist (General Practice)
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Obstetrics & Gynecology
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Nurse Practitioner
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073177739, enumerated as an "organization" on April 29, 2019.

The provider is located at 4060 FAIRMOUNT AVE SAN DIEGO, CA 92105 and the phone number is (619) 584-1612.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.