LA MAESTRA FAMILY CLINIC, INC.
NPI 1780376012
Clinic/Center - Federally Qualified Health Center (FQHC) in San Diego, CA
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 1780376012), doing business as La Maestra Community Health Centers, is a healthcare organization registered as a federally qualified health center (fqhc) in San Diego, California and active in the NPI registry since May 2023. The organization lists Tom Vu, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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.
Clinicians Billing Medicare Through This Organization
101Medicare 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
Nearest to this location (20)
See all 101Source: 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 1780376012. It was assigned to this organization in the NPPES registry on May 24, 2023. 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 4074 Fairmount Ave, San Diego, CA 92105. The listed phone number is (619) 584-1612.
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.
When was this NPI record last updated?
The NPPES record for La Maestra Family Clinic, Inc. was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# La Maestra Family Clinic, Inc. · NPI 1780376012
Federally Qualified Health Center (FQHC) organization in San Diego, California. Organization record, active in the CMS NPPES registry since May 24, 2023.
## Identity
- **NPI:** 1780376012 (Entity type: Organization)
- **Enumerated:** May 24, 2023
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** La Maestra Community Health Centers (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Tom Vu, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 4074 FAIRMOUNT AVE, San Diego, CA 92105-1608
- **Phone:** (619) 584-1612
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 101 clinicians in 17 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (32), Family Practice (18), Obstetrics/Gynecology (8); 33 practice at this address and 70 within 10 miles; [full list](https://npiprofile.com/npi/1780376012/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 24, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1780376012) · Data from the CMS NPPES public registry.