1. Home
  2. Directory
  3. California
  4. San Diego
  5. Point Of Service
  6. NPI Profile

IMPACT COMMUNITY CLINIC
NPI 1619279361
Point of Service in San Diego, CA

Active since December 01, 2010
10060 CARMEL MOUNTAIN RD, SAN DIEGO, CA 92129(858) 206-1860(858) 484-8577 Get Directions Write a Review

NPPES record last updated: December 1, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Impact Community Clinic NPPES

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

IMPACT COMMUNITY CLINIC (NPI 1619279361) is a healthcare organization registered as a point of service in San Diego, California and active in the NPI registry since December 2010. The organization lists William Kenneth Harmaning, Chair Board Of Directors, as its authorized official.

NPPES Registry Identity

NPI1619279361
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NamePQ OUTREACH COALITION
Location Address10060 CARMEL MOUNTAIN RDSan Diego, CA 92129-3228
Mailing Address10060 Carmel Mountain RdSan Diego, CA 92129-3228 · (858) 206-1860 · Fax (858) 484-8577
Phone(858) 206-1860
Fax(858) 484-8577
Organization SubpartNo
Authorized OfficialWilliam Kenneth HarmaningChair Board Of Directors · (858) 206-1860
Enumeration DateDecember 1, 2010
✔ NPI 1619279361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
10060 CARMEL MOUNTAIN RD, San Diego, CA 92129
Open in Google Maps ↗

Other Names 1

Other NameImpact Community 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 Pq Outreach Coalition's NPI number?

The NPI number for Pq Outreach Coalition is 1619279361. It was assigned to this organization in the NPPES registry on December 1, 2010. The provider is also known as Impact Community Clinic.

Where is Pq Outreach Coalition located?

Pq Outreach Coalition is located at 10060 Carmel Mountain Rd, San Diego, CA 92129. The listed phone number is (858) 206-1860.

What is Pq Outreach Coalition's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Pq Outreach Coalition was last updated on December 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.