LA MAESTRA COMMUNITY HEALTH CENTERS
NPI 1609849074
Clinic/Center - Federally Qualified Health Center (FQHC) in San Diego, CA

Active since February 08, 2006CLIA 05D0699734 · Waiver
4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105(619) 280-4213(619) 281-6738 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About La Maestra Community Health Centers NPPES

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

LA MAESTRA COMMUNITY HEALTH CENTERS (NPI 1609849074) is a healthcare organization registered as a federally qualified health center (fqhc) in San Diego, California and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through February 21, 2027 and lists Zara Marselian, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609849074
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLA MAESTRA FAMILY CLINIC, INC.
Location Address4060 FAIRMOUNT AVESan Diego, CA 92105-1608
Mailing Address4060 Fairmount AveSan Diego, CA 92105-1608 · (619) 961-0818 · Fax (619) 281-6738
Fax(619) 281-6738
Organization SubpartNo
Authorized OfficialZara MarselianCeo · (619) 961-0818
Enumeration DateFebruary 8, 2006
Last NPPES UpdateDecember 7, 2021
NPPES CertifiedDecember 7, 2021
✔ NPI 1609849074 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
4060 FAIRMOUNT AVE, San Diego, CA 92105

Other Names 1

Doing Business AsLa Maestra Community Health Centers

Other Identifiers 1

MedicaidFHC70472GCA

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 Community Health Centers 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 Community Health Centers, 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
Clinical Psychologist
NPI 1073742268
4060 FAIRMOUNT AVE
San Diego, CA 92105
(619) 564-8765
✔ PECOSSame address
Nurse Practitioner
NPI 1154094415
4060 FAIRMOUNT AVE
San Diego, CA 92105
(619) 280-4213
✔ PECOSSame address
Chiropractic
NPI 1083764484
4060 FAIRMOUNT AVE
San Diego, CA 92105
(619) 798-3947
✔ Accepts MedicareSame 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
Family Practice
NPI 1497333702
4060 FAIRMONT AVE
San Diego, CA 92105
(619) 280-1105
✔ PECOSSame address
Nurse Practitioner
NPI 1700435211
4060 FAIRMOUNT AVE
San Diego, CA 92105
(619) 280-4213
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1366929200
4060 FAIRMOUNT AVE
San Diego, CA 92105
(619) 280-4213
✔ PECOSSame address
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
Pediatric Medicine
NPI 1437444858
4060 FAIRMOUNT AVE PEDIATRICS DEPARTMENT
San Diego, CA 92105
(619) 255-9154
✔ 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
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0699734

La Maestra Family Clinic Inc · San Diego, CA
Active · expires Feb 21, 2027
CLIA Number05D0699734
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 22, 2025
Certificate Expiration DateFebruary 21, 2027
Laboratory DirectorJavier Rodriguez
Laboratory Phone(619) 280-4213
Laboratory LocationLa Maestra Family Clinic Inc4060 Fairmount Ave, San Diego, CA 92105
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1609849074. It was assigned to this organization in the NPPES registry on February 8, 2006. The provider is doing business as La Maestra Community Health Centers.

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) 280-4213.

What is La Maestra Family Clinic, Inc.'s specialty?

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

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.

Does La Maestra Family Clinic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0699734) is associated with this NPI, valid through February 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does La Maestra Family Clinic, Inc. accept?

Health plans from UnitedHealthcare 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 December 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.