NORTH PARK FAMILY HEALTH CENTER II
NPI 1184169963
Clinic/Center - Federally Qualified Health Center (FQHC) in San Diego, CA
About North Park Family Health Center Ii NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH PARK FAMILY HEALTH CENTER II (NPI 1184169963) is a healthcare organization registered as a federally qualified health center (fqhc) in San Diego, California and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through July 27, 2028 and lists Ricardo Roman, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
North Park Family Health Center Ii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
1,091Medicare enrollment records show 1,091 clinicians reassign Medicare billing to North Park Family Health Center II, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 708 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 45
Nearest to this location (20)
See all 1,091Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D0895432
North Park Family Health Center · San Diego, CAFrequently 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 1184169963. It was assigned to this organization in the NPPES registry on January 3, 2017. The provider is doing business as North Park Family Health Center II.
Where is Family Health Centers Of San Diego, Inc. located?
Family Health Centers Of San Diego, Inc. is located at 3514 30th St, San Diego, CA 92104. The listed phone number is (619) 515-2424.
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.
Is Family Health Centers Of San Diego, Inc. enrolled in Medicare?
Yes. Family Health Centers Of San Diego, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Family Health Centers Of San Diego, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1,091 clinicians in 45 Medicare specialties reassign their Medicare billing to Family Health Centers Of San Diego, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (162), Family Practice (161) and Clinical Social Worker (123). Of these, 10 practice at this address and 708 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Family Health Centers Of San Diego, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0895432) is associated with this NPI, valid through July 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
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.
# North Park Family Health Center Ii · NPI 1184169963
Federally Qualified Health Center (FQHC) organization in San Diego, California. Organization record, active in the CMS NPPES registry since January 3, 2017.
## Identity
- **NPI:** 1184169963 (Entity type: Organization)
- **Enumerated:** January 3, 2017
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Family Health Centers Of San Diego, Inc.
- **Organization subpart:** No
- **Authorized official:** Ricardo Roman, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 3514 30TH ST, San Diego, CA 92104-4120
- **Phone:** (619) 515-2424 · **Fax:** (619) 683-7586
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1,091 clinicians in 45 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (162), Family Practice (161), Clinical Social Worker (123); 10 practice at this address and 708 within 10 miles; [full list](https://npiprofile.com/npi/1184169963/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 20, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184169963) · Data from the CMS NPPES public registry.