Chase Avenue Family Health Center

LBN: Family Health Centers Of San Diego
Chase Avenue Family Health Center is an health care organization with primary practice located at 1111 W Chase Ave , El Cajon CA 92020-5710. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Family Health Centers Of San Diego can be contacted via phone (619) 515-2300, or through Roman, Ricardo via phone (619) 515-2300.

Contact Information

Primary practice address
1111 W Chase Ave El Cajon CA 92020-5710
Fax: (619) 593-9164
Website:
Authorized official contact:
Name: Roman, Ricardo

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 090000631 California

Profile Details

NPI number 1164608972
LBN Legal business name Family Health Centers Of San Diego
DBA Doing business as Chase Avenue Family Health Center
Authorized official Roman, Ricardo
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 11th, 2008
Last updated Feb 20th, 2024 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164608972 NPPES
California Other HAP70856F FAMILY P.A.C.T.

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