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

Q: What is San Diego Family Care's NPI number?

The NPI number for San Diego Family Care is 1306827332. It was assigned to this organization in the NPPES registry on November 8, 2005. The provider is doing business as Mid-City Community Clinic.

Q: What is San Diego Family Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since November 08, 2005

4290 POLK AVE, SAN DIEGO, CA 92105(619) 563-0507(619) 563-0015 Get Directions Write a Review

NPPES record last updated: July 23, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mid-city Community Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MID-CITY COMMUNITY CLINIC (NPI 1306827332) is a healthcare organization registered as a federally qualified health center (fqhc) in San Diego, California and active in the NPI registry since November 2005. The organization lists Roberta Lee Feinberg, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1306827332

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSAN DIEGO FAMILY CARE

Location Address4290 POLK AVESan Diego, CA 92105-1524

Mailing Address4290 Polk AveSan Diego, CA 92105-1524 · (619) 563-0507 · Fax (619) 563-0015

Phone(619) 563-0507

Fax(619) 563-0015

Organization SubpartYes

Authorized OfficialRoberta Lee FeinbergChief Executive Officer · (619) 563-0507

Enumeration DateNovember 8, 2005

Last NPPES UpdateJuly 23, 2007

✔ NPI 1306827332 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

4290 POLK AVE, San Diego, CA 92105

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Other Names 1

Doing Business AsMid-city Community Clinic

Other Identifiers 7

OtherW815CA · Other

OtherBCP 11882 FCA · Bcp

Other80406CA · Healthy Families

OtherEAP 11672 FCA · Expanded Access To Primar

Medicare ID-Type Unspecified051875 (UGS)CA

OtherHAP 11882 GCA · Sofp

OtherFHC 11882 GCA · Medi-cal (fqhc)

Other Providers at the Same Location NPPES 20

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

DIANA MARQUARDT MD

Internal Medicine