DAVIS STREET PRIMARY CARE CLINIC
NPI 1215358924
Clinic/Center - Federally Qualified Health Center (FQHC) in San Leandro, CA
About Davis Street Primary Care Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVIS STREET PRIMARY CARE CLINIC (NPI 1215358924) is a healthcare organization registered as a federally qualified health center (fqhc) in San Leandro, California and active in the NPI registry since December 2013. The organization lists Rosalia Aquino Mcmillen, Chief Fiscal Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
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 The Davis Street Community Center Incorporated's NPI number?
The NPI number for The Davis Street Community Center Incorporated is 1215358924. It was assigned to this organization in the NPPES registry on December 23, 2013. The provider is doing business as Davis Street Primary Care Clinic.
Where is The Davis Street Community Center Incorporated located?
The Davis Street Community Center Incorporated is located at 3081 Tegarden, San Leandro, CA 94577. The listed phone number is (510) 347-4620.
What is The Davis Street Community Center Incorporated'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 The Davis Street Community Center Incorporated was last updated on April 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.