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

Q: What is La Maestra Family Clinic, Inc.'s NPI number?

The NPI number for La Maestra Family Clinic, Inc. is 1073177739. It was assigned to this organization in the NPPES registry on April 29, 2019. The provider is doing business as La Maestra Community Health Centers. The provider is also known as Health Home Care Management Program.

Q: What is La Maestra Family Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Active since April 29, 2019

4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105(619) 584-1612(619) 281-6738 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 11, 2019, Apr 29, 2019 (2 updates tracked since 2019).

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About La Maestra Family Clinic, Inc. NPPES

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

LA MAESTRA FAMILY CLINIC, INC. (NPI 1073177739), doing business as La Maestra Community Health Centers, is a healthcare organization registered as a health service in San Diego, California and active in the NPI registry since April 2019. The organization lists Tom Vu, Chief Of Corporate Compliance, as its authorized official.

NPPES Registry Identity

NPI1073177739

Entity TypeOrganization

Primary Taxonomy261QH0100X

Legal Business NameLA MAESTRA FAMILY CLINIC, INC.

Location Address4060 FAIRMOUNT AVESan Diego, CA 92105-1608

Mailing Address4060 Fairmount AveSan Diego, CA 92105-1608 · (619) 584-1612 · Fax (619) 281-6738

Phone(619) 584-1612

Fax(619) 281-6738

Organization SubpartNo

Authorized OfficialTom VuChief Of Corporate Compliance · (619) 269-1292

Enumeration DateApril 29, 2019

Last NPPES UpdateJune 11, 20192 updates tracked since enumeration

✔ NPI 1073177739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities

Taxonomy Code261QH0100X

4060 FAIRMOUNT AVE, San Diego, CA 92105

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Other Names 2

Doing Business AsLa Maestra Community Health Centers

Other NameHealth Home Care Management Program

Other Identifiers 1

MedicaidFHC70472GCA

Other Providers at the Same Location NPPES 20

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

DR. DORA DOAN O.D.

Optometrist

4060 FAIRMOUNT AVE, OPTOMETRY DEPARTMENT
SAN DIEGO, CA 92105

San Diego County (619) 961-0803

DIANA P ALVAREZ MSW

Counselor (Mental Health)

4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105

San Diego County (619) 295-6047

ANTOINETTE KIM LIEU PHARMD

Pharmacist

4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105

San Diego County (619) 564-7013

KALEELAH RAE, NAJA MUHAMMAD

Student in an Organized Health Care Education/Training Program

4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105

San Diego County (619) 280-4213

DR. ADLA TESSIER M.D.

Internal Medicine

4060 FAIRMOUNT AVE, FAMILY PRACTICE
SAN DIEGO, CA 92105

San Diego County (619) 255-9155

CYNTHIA MIRANDA PSYD

Psychologist

4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105

San Diego County (619) 564-8765

TONYA DANIELLE DANIEL LCSW

Social Worker (Clinical)

4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105

San Diego County (619) 584-1612

SAMANTHA GOGGIN MD

Pediatrics

4060 FAIRMOUNT AVE, PEDIATRICS DEPARTMENT
SAN DIEGO, CA 92105

San Diego County (619) 255-9154

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is La Maestra Family Clinic, Inc.'s NPI number?

The NPI number for La Maestra Family Clinic, Inc. is 1073177739. It was assigned to this organization in the NPPES registry on April 29, 2019. The provider is doing business as La Maestra Community Health Centers. The provider is also known as Health Home Care Management Program.

Where is La Maestra Family Clinic, Inc. located?

La Maestra Family Clinic, Inc. is located at 4060 Fairmount Ave, San Diego, CA 92105. The listed phone number is (619) 584-1612.

What is La Maestra Family Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for La Maestra Family Clinic, Inc. was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.