| City Heights Family Health Center | |
|
5454 El Cajon Blvd San Diego CA 92115-3621 | |
| (619) 515-2400 | |
| (619) 795-2756 |
| Full Name | City Heights Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 5454 El Cajon Blvd, San Diego, California |
| Authorized Official Name and Position | Ricardo Roman (CFO) |
| Authorized Official Contact | 6195152300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| City Heights Family Health Center 823 Gateway Center Way San Diego CA 92102-4541 Ph: (619) 515-2300 | City Heights Family Health Center 5454 El Cajon Blvd San Diego CA 92115-3621 Ph: (619) 515-2400 |
| NPI Number | 1023054004 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 02/20/2024 |
| Medicare PECOS PAC ID | 3476446378 |
|---|---|
| Medicare Enrollment ID | O20050706000146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023054004 | NPI | - | NPPES |
| W5352F | Other | CA | MEDICARE - NHIC |
| FHC71055F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 090000677 (California) | Primary |
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