LA MAESTRA FAMILY CLINIC, INC.
NPI 1780376012
Clinic/Center - Federally Qualified Health Center (FQHC) in San Diego, CA

Active since May 24, 2023
4074 FAIRMOUNT AVE, SAN DIEGO, CA 92105(619) 584-1612 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1780376012
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLA MAESTRA FAMILY CLINIC, INC.
Location Address4074 FAIRMOUNT AVESan Diego, CA 92105-1608
Mailing Address4060 Fairmount AveSan Diego, CA 92105-1608 · (619) 584-1612 · Fax (619) 281-6738
Organization SubpartNo
Authorized OfficialTom VuExecutive Director · (619) 972-4165
Enumeration DateMay 24, 2023
NPPES CertifiedMay 6, 2023
NPI 1780376012 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
4074 FAIRMOUNT AVE, San Diego, CA 92105

Other Names 1

Doing Business AsLa Maestra Community Health Centers

Other Providers at the Same Location NPPES 2

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

Pharmacy (Community/Retail Pharmacy)
4074 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Pharmacy (Long Term Care Pharmacy)
4074 FAIRMOUNT AVE
SAN DIEGO, CA 92105

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.

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.