MID-CITY COMMUNITY CLINIC
NPI 1306827332
Clinic/Center - Federally Qualified Health Center (FQHC) in San Diego, CA

NPI Status: Active since November 08, 2005

Contact Information

4290 POLK AVE
SAN DIEGO, CA
ZIP 92105
Phone: (619) 563-0507
Fax: (619) 563-0015

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)

About MID-CITY COMMUNITY CLINIC

This page provides the complete NPI Profile along with additional information for Mid-city Community Clinic, a primary care provider established in San Diego, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1306827332 assigned on November 2005. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The provider's is doing business as Mid-city Community Clinic. The authorized official of this NPI record is Ms. Roberta Lee Feinberg Ms (Chief Executive Officer)

NPI
1306827332
Provider Legal Name
SAN DIEGO FAMILY CARE
Other Organization Name
MID-CITY COMMUNITY CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4290 POLK AVE SAN DIEGO, CA 92105
Location Phone
(619) 563-0507
Location Fax
(619) 563-0015
Mailing Address
4290 POLK AVE SAN DIEGO, CA 92105
Mailing Phone
(619) 563-0507
Mailing Fax
(619) 563-0015
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-08-2005
Last Update Date
07-23-2007
Code Navigator

A primary care provider (PCP) like Mid-city Community Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities
License State
CA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. ROBERTA LEE FEINBERG MS

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(619) 563-0507

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
W815OTHER (01)CAOTHER
BCP 11882 FOTHER (01)CABCP
80406OTHER (01)CAHEALTHY FAMILIES
EAP 11672 FOTHER (01)CAEXPANDED ACCESS TO PRIMAR
051875 (UGS)MEDICARE ID-TYPE UNSPECIFIED (04)CA 
HAP 11882 GOTHER (01)CASOFP
FHC 11882 GOTHER (01)CAMEDI-CAL (FQHC)

Reviews for MID-CITY COMMUNITY CLINIC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1306827332, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
3
Doubled → 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 7 → 14 → 5 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 0 + 6 + 1 + 6 + 2 + 1 + 4 + 3 + 6 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1306827332.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
4290 POLK AVE
SAN DIEGO, CA 92105
Internal Medicine
4290 POLK AVE
SAN DIEGO, CA 92105
Internal Medicine
4290 POLK AVE
SAN DIEGO, CA 92105
Physician Assistant (Medical)
4290 POLK AVE
SAN DIEGO, CA 92105
Registered Nurse
4290 POLK AVE
SAN DIEGO, CA 92105
Nurse Practitioner
4290 POLK AVE
SAN DIEGO, CA 92105
Registered Nurse
4290 POLK AVE
SAN DIEGO, CA 92105
Dietitian, Registered
4290 POLK AVE
SAN DIEGO, CA 92105
Family Medicine
4290 POLK AVE
SAN DIEGO, CA 92105
Nurse Practitioner
4290 POLK AVE
SAN DIEGO, CA 92105
Internal Medicine
4290 POLK AVE
SAN DIEGO, CA 92105
Psychologist (Clinical)
4290 POLK AVE
SAN DIEGO, CA 92105
Podiatrist
4290 POLK AVE
SAN DIEGO, CA 92105
Physician Assistant
4290 POLK AVE
SAN DIEGO, CA 92105
Nurse Practitioner (Psychiatric/Mental Health)
4290 POLK AVE
SAN DIEGO, CA 92105
Family Medicine
4290 POLK AVE
SAN DIEGO, CA 92105
Family Medicine
4290 POLK AVE
SAN DIEGO, CA 92105
Psychologist (Clinical)
4290 POLK AVE
SAN DIEGO, CA 92105
Physician Assistant
4290 POLK AVE
SAN DIEGO, CA 92105
Dietitian, Registered
4290 POLK AVE
SAN DIEGO, CA 92105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306827332, enumerated as an "organization" on November 08, 2005.

The provider is located at 4290 POLK AVE SAN DIEGO, CA 92105 and the phone number is (619) 563-0507.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Medicare, Medicaid and California Medicaid. Please consult your insurance carrier or call the provider to verify.