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LANDIS AVENUE DENTAL SERVICES
NPI 1124738422
Clinic/Center - Federally Qualified Health Center (FQHC) in Chula Vista, CA

Active since November 29, 2022
264 LANDIS AVE STE 200, CHULA VISTA, CA 91910(619) 269-8656(619) 269-8657 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Landis Avenue Dental Services NPPES

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

LANDIS AVENUE DENTAL SERVICES (NPI 1124738422) is a healthcare organization registered as a federally qualified health center (fqhc) in Chula Vista, California and active in the NPI registry since November 2022. The organization lists Ricardo Roman, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1124738422
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameFAMILY HEALTH CENTERS OF SAN DIEGO, INC
Location Address264 LANDIS AVE STE 200Chula Vista, CA 91910-2651
Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2300 · Fax (619) 269-8657
Phone(619) 269-8656
Fax(619) 269-8657
Organization SubpartYes
Authorized OfficialRicardo RomanChief Financial Officer · (619) 515-2300
Enumeration DateNovember 29, 2022
Last NPPES UpdateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
✔ NPI 1124738422 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
264 LANDIS AVE STE 200, Chula Vista, CA 91910
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Other Names 1

Doing Business AsLandis Avenue Dental Services

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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.

MICHAEL LOZANO B.S.
Behavior Technician
264 LANDIS AVE STE 200
CHULA VISTA, CA 91910
San Diego County (619) 997-6851
CHRISTINE ANNE DOZIER
Behavior Technician
264 LANDIS AVE STE 200
CHULA VISTA, CA 91910
San Diego County (619) 997-6851
JASMYNE CHASE
Behavior Technician
264 LANDIS AVE STE 200
CHULA VISTA, CA 91910
San Diego County (855) 223-7123
CARI MATA
Behavior Technician
264 LANDIS AVE STE 200
CHULA VISTA, CA 91910
San Diego County (619) 977-6851
ILSE ARELY CORTES
Behavior Technician
264 LANDIS AVE STE 200
CHULA VISTA, CA 91910
San Diego County (619) 977-6851
KAYLA REBEKAH MATTHES
Behavior Technician
264 LANDIS AVE STE 200
CHULA VISTA, CA 91910
San Diego County (619) 977-6851
CHYENNE MARIE LONG
Behavior Technician
264 LANDIS AVE STE 200
CHULA VISTA, CA 91910
San Diego County (855) 223-7123
KATTERYN JOSELYN HERNANDEZ
Behavior Technician
264 LANDIS AVE STE 200
CHULA VISTA, CA 91910
San Diego County (619) 997-6851

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 1124738422. It was assigned to this organization in the NPPES registry on November 29, 2022. The provider is doing business as Landis Avenue Dental Services.

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

Family Health Centers Of San Diego, Inc is located at 264 Landis Ave Ste 200, Chula Vista, CA 91910. The listed phone number is (619) 269-8656.

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.

What insurance does Family Health Centers Of San Diego, Inc accept?

Health plans from UnitedHealthcare list Family Health Centers Of San Diego, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Family Health Centers Of San Diego, Inc was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.