DAVIS STREET PRIMARY CARE CLINIC
NPI 1215358924
Clinic/Center - Federally Qualified Health Center (FQHC) in San Leandro, CA

Active since December 23, 2013
3081 TEGARDEN, SAN LEANDRO, CA 94577(510) 347-4620(510) 486-4486 Get Directions Write a Review

NPPES record last updated: April 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1215358924
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTHE DAVIS STREET COMMUNITY CENTER INCORPORATED
Location Address3081 TEGARDENSan Leandro, CA 94577-5720
Mailing Address3081 Tegarden StreetSan Leandro, CA 94577-5720 · (510) 347-4620 · Fax (510) 486-4486
Fax(510) 486-4486
Organization SubpartNo
Authorized OfficialRosalia Aquino McmillenChief Fiscal Officer · (510) 347-4620
Enumeration DateDecember 23, 2013
Last NPPES UpdateApril 1, 2020
NPPES CertifiedApril 1, 2020
NPI 1215358924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
3081 TEGARDEN, San Leandro, CA 94577

Other Names 1

Doing Business AsDavis Street Primary Care Clinic

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.