Grossmont Spring Valley Family Health Center

LBN: Family Health Centers Of San Diego, Inc
Grossmont Spring Valley Family Health Center is an health care organization with primary practice located at 8788 Jamacha Rd , Spring Valley CA 91977-4035. 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, Inc can be contacted via phone (619) 515-2555, or through Roman, Ricardo via phone (619) 515-2300.

Contact Information

Primary practice address
8788 Jamacha Rd Spring Valley CA 91977-4035
Fax: (619) 462-5584
Website:
Authorized official contact:
Name: Roman, Ricardo

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 090000593 California

Profile Details

NPI number 1508801069
LBN Legal business name Family Health Centers Of San Diego, Inc
DBA Doing business as Grossmont Spring Valley Family Health Center
Authorized official Roman, Ricardo
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2006
Last updated Feb 20th, 2024 - about 9 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 1508801069 NPPES
California MEDICAID FHC70793F
California Other W5352D

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