FAMILY HEALTH CENTERS OF SAN DIEGO, INC
NPI 1114700119
Clinic/Center - Federally Qualified Health Center (FQHC) in San Diego, CA

Q: What is Family Health Centers Of San Diego, Inc'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 August 15, 2023

4874 POLK AVE, SAN DIEGO, CA 92105(619) 515-2300(619) 237-1856 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 1, 2026, Aug 15, 2023 (2 updates tracked since 2023).

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About Family Health Centers Of San Diego, Inc NPPES

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

FAMILY HEALTH CENTERS OF SAN DIEGO, INC (NPI 1114700119), doing business as Ibarra Family Health Center, is a healthcare organization registered as a federally qualified health center (fqhc) in San Diego, California and active in the NPI registry since August 2023. The organization lists Ricardo Roman, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1114700119

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameFAMILY HEALTH CENTERS OF SAN DIEGO, INC

Location Address4874 POLK AVESan Diego, CA 92105-2026

Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2300 · Fax (619) 237-1856

Phone(619) 515-2300

Fax(619) 237-1856

Organization SubpartYes

Authorized OfficialRicardo RomanChief Financial Officer · (619) 906-4603

Enumeration DateAugust 15, 2023

Last NPPES UpdateJune 1, 20262 updates tracked since enumeration

NPPES CertifiedJune 1, 2026

✔ NPI 1114700119 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

4874 POLK AVE, San Diego, CA 92105

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Other Names 1

Doing Business AsIbarra Family Health Center

Other Providers at the Same Location NPPES

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

GLENNIS JEANNE MULDOON LCSW

Social Worker (Clinical)

4874 POLK AVE
SAN DIEGO, CA 92105

San Diego County (619) 515-2426

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 Family Health Centers Of San Diego, Inc's NPI number?

The NPI number for Family Health Centers Of San Diego, Inc is 1114700119. It was assigned to this organization in the NPPES registry on August 15, 2023. The provider is doing business as Ibarra Family Health Center.

Where is Family Health Centers Of San Diego, Inc located?

Family Health Centers Of San Diego, Inc is located at 4874 Polk Ave, San Diego, CA 92105. The listed phone number is (619) 515-2300.

What is Family Health Centers Of San Diego, Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Family Health Centers Of San Diego, Inc was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.