LA MAESTRA FAMILY CLINIC INC
NPI 1457521239
Pharmacy - Community/Retail Pharmacy in San Diego, CA

Active since March 07, 2008
4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105(619) 564-7014(619) 564-7015 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 19, 2025, Jul 19, 2018, Feb 14, 2017 (3 updates tracked since 2017).

About La Maestra Family Clinic Inc NPPES

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

LA MAESTRA FAMILY CLINIC INC (NPI 1457521239), doing business as La Maestra Community Pharmacy, is a healthcare organization registered as a community/retail pharmacy in San Diego, California and active in the NPI registry since March 2008. The organization lists Zara Marselian, Chief Exect Officer, as its authorized official.

NPPES Registry Identity

NPI1457521239
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLA MAESTRA FAMILY CLINIC INC
Location Address4060 FAIRMOUNT AVESan Diego, CA 92105-1608
Mailing Address4060 Fairmount AveSan Diego, CA 92105-1608 · (619) 564-7014 · Fax (619) 564-7015
Fax(619) 564-7015
Organization SubpartNo
Authorized OfficialZara MarselianChief Exect Officer · (619) 857-2062
Enumeration DateMarch 7, 2008
Last NPPES UpdateSeptember 19, 20253 updates tracked since enumeration
✔ NPI 1457521239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · 48728
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
4060 FAIRMOUNT AVE, San Diego, CA 92105

Other Names 1

Doing Business AsLa Maestra Community Pharmacy

Other Identifiers 1

Other2113283Pk

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

La Maestra Family Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20050516000901Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

101

Medicare enrollment records show 101 clinicians reassign Medicare billing to La Maestra Family Clinic Inc, which bills Medicare for the services they deliver. Of these, 33 practice at this address and 70 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 17

Nurse Practitioner32
Family Practice18
Obstetrics/Gynecology8
Pediatric Medicine7
Internal Medicine6
Chiropractic5
Clinical Psychologist4
Clinical Social Worker3
9 other specialties18

Nearest to this location (20)

See all 101
Nurse Practitioner
NPI 1740953249
4060 FAIRMOUNT AVE
San Diego, CA 92105
(619) 280-4213
✔ PECOSSame address
Dentist
NPI 1568037984
4060 FAIRMOUNT AVE 3RD FLOOR DENTAL DEPARTMENT
San Diego, CA 92105
(619) 564-7018
✔ PECOSSame address
Chiropractic
NPI 1083733398
4060 FAIRMOUNT AVE CHIROPRACTIC DEPARTMENT
San Diego, CA 92105
(619) 798-3947
Same address
Nurse Practitioner
NPI 1457027005
4060 FAIRMOUNT AVE
San Diego, CA 92105
(619) 434-7308
✔ PECOSSame address
Pediatric Medicine
NPI 1437444858
4060 FAIRMOUNT AVE PEDIATRICS DEPARTMENT
San Diego, CA 92105
(619) 255-9154
✔ PECOSSame address
Nurse Practitioner
NPI 1932696960
4060 FAIRMOUNT AVE
San Diego, CA 92105
(619) 280-4213
✔ PECOSSame address
Optometry
NPI 1003129834
4060 FAIRMOUNT AVE OPTOMETRY DEPARTMENT
San Diego, CA 92105
(619) 961-0803
✔ PECOSSame address
Diagnostic Radiology
NPI 1447246640
4060 FAIRMOUNT AVE STE 120
San Diego, CA 92105
(619) 269-1299
✔ PECOSSame address
Pediatric Medicine
NPI 1023506367
4060 FAIRMOUNT AVE PEDIATRICS DEPARTMENT
San Diego, CA 92105
(619) 255-9154
✔ PECOSSame address
Family Practice
NPI 1093863029
4060 FAIRMOUNT AVE FAMILY PRACTICE DEPARTMENT
San Diego, CA 92105
(619) 255-9155
✔ PECOSSame address
Marriage and Family Therapist
NPI 1447551353
4060 FAIRMOUNT AVENUE
San Diego, CA 91941
(619) 584-1612
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1740514249
4060 FAIRMOUNT AVE
San Diego, CA 92105
(619) 280-4213
✔ PECOSSame address
Family Practice
NPI 1376098251
4060 FAIRMOUNT AVE
San Diego, CA 92105
(619) 280-4213
✔ PECOSSame address
Pediatric Medicine
NPI 1639366123
4060 FAIRMOUNT AVE PEDIATRICS
San Diego, CA 92105
(619) 255-9154
✔ PECOSSame address
Chiropractic
NPI 1598533911
4060 FAIRMONT AVE.
San Diego, CA 92105
(619) 889-8834
✔ Accepts MedicareSame address
Family Practice
NPI 1497333702
4060 FAIRMONT AVE
San Diego, CA 92105
(619) 280-1105
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1366929200
4060 FAIRMOUNT AVE
San Diego, CA 92105
(619) 280-4213
✔ PECOSSame address
Clinical Social Worker
NPI 1013200617
4060 FAIRMOUNT AVE
San Diego, CA 92105
(619) 295-6047
✔ PECOSSame address
Clinical Psychologist
NPI 1023186970
4060 FAIRMOUNT AVE
San Diego, CA 92105
(619) 564-8765
✔ PECOSSame address
Clinical Psychologist
NPI 1073742268
4060 FAIRMOUNT AVE
San Diego, CA 92105
(619) 564-8765
✔ PECOSSame address
See all 101 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 La Maestra Family Clinic Inc's NPI number?

The NPI number for La Maestra Family Clinic Inc is 1457521239. It was assigned to this organization in the NPPES registry on March 7, 2008. The provider is doing business as La Maestra Community Pharmacy.

Where is La Maestra Family Clinic Inc located?

La Maestra Family Clinic Inc is located at 4060 Fairmount Ave, San Diego, CA 92105. The listed phone number is (619) 564-7014.

What is La Maestra Family Clinic Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is La Maestra Family Clinic Inc enrolled in Medicare?

Yes. La Maestra Family Clinic Inc is registered in the Medicare PECOS enrollment system.

When is La Maestra Family Clinic Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through La Maestra Family Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 101 clinicians in 17 Medicare specialties reassign their Medicare billing to La Maestra Family Clinic 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 (32), Family Practice (18) and Obstetrics/Gynecology (8). Of these, 33 practice at this address and 70 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does La Maestra Family Clinic Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 31 other insurers list La Maestra Family Clinic Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for La Maestra Family Clinic Inc was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.