LA MAESTRA FAMILY CLINIC, INC.
NPI 1164167656
Clinic/Center - Federally Qualified Health Center (FQHC) in San Diego, CA

Active since April 29, 2022
4157 FAIRMOUNT AVE, SAN DIEGO, CA 92105(619) 285-7097(619) 564-8140 Get Directions Write a Review

NPPES record last updated: April 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 1164167656), doing business as La Maestra Community Health Centers, is a healthcare organization registered as a federally qualified health center (fqhc) in San Diego, California and active in the NPI registry since April 2022. The organization lists Tom Vu, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1164167656
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLA MAESTRA FAMILY CLINIC, INC.
Location Address4157 FAIRMOUNT AVESan Diego, CA 92105-1609
Mailing Address4060 Fairmount AveSan Diego, CA 92105-1608 · (619) 584-1612
Fax(619) 564-8140
Organization SubpartNo
Authorized OfficialTom VuExecutive Director · (619) 269-1292
Enumeration DateApril 29, 2022
NPPES CertifiedApril 14, 2022
NPI 1164167656 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
4157 FAIRMOUNT AVE, San Diego, CA 92105

Other Names 1

Doing Business AsLa Maestra Community Health Centers

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
4157 FAIRMOUNT AVE
SAN DIEGO, CA 92105

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 1164167656. It was assigned to this organization in the NPPES registry on April 29, 2022. The provider is doing business as La Maestra Community Health Centers.

Where is La Maestra Family Clinic, Inc. located?

La Maestra Family Clinic, Inc. is located at 4157 Fairmount Ave, San Diego, CA 92105. The listed phone number is (619) 285-7097.

What is La Maestra Family Clinic, 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 La Maestra Family Clinic, Inc. was last updated on April 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.