NPIMap

Organization Active NPI

Family Health Centers of San Diego Inc

Doing business as Rice Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Chula Vista, CA
National Provider Identifier
1083959464
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FAMILY HEALTH CENTERS OF SAN DIEGO INC
Doing business as
Rice Family Health Center
Practice address
352 L St
Chula Vista, CA 91911-1523
Phone
(619) 515-2500
Fax
(619) 934-9578
NPI assigned
Dec 11, 2012
Last updated
Feb 20, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
FAMILY HEALTH CENTERS OF SAN DIEGOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ricardo Roman
Title
Chief Financial Officer
Phone
(619) 515-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

352 L St
Chula Vista, CA 91911-1523

Mailing address

823 Gateway Center Way
San Diego, CA 92102-4541
Phone (619) 515-2300

Other names 1

  • RICE FAMILY HEALTH CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040204000923 CA Part B Supplier - Clinic/Group Practice 3476446378 Receives reassigned benefits from 1,133 practitioners
26 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Spring Valley, CA; San Diego, CA; Lemon Grove, CA; El Cajon, CA; Chula Vista, CA
O20130521000715 CA Part A Provider - Federally Qualified Health Center (FQHC) 3476446378 Practice locations: Chula Vista, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083959464. Details of each certification follow.

Federally qualified health center certification: CCN 751051

Legal name
FAMILY HEALTH CENTERS OF SAN DIEGO INC
Doing business as
RICE FAMILY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 22, 2013
Last certification
May 22, 2013
Ownership / control type
Non-profit – church related
Organization structure
CorporationNon-profit
Incorporated
Jun 5, 1973 in CA
Enrollment address
352 L St
Chula Vista, CA 91911-1208

Other NPIs on the same Medicare enrollment 26

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 26

National Provider Directory

National Provider Directory
Part of
Logan Heights Family HL

Locations

352 L St
Chula Vista, CA 91911
Phone (619) 515-2325

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ricardo Roman Individual Corporate OfficerChief Financial Officer Sep 20, 2010
W-2 Managing EmployeeChief Financial Officer Sep 20, 2010
Bertha Garcia Individual Corporate DirectorBoard of Directors Nov 12, 1992
Margarita I Carmona Individual Corporate DirectorBoard of Directors Aug 21, 1978
Stephanie Perez Individual Corporate DirectorBoard of Directors Jun 12, 1974
Venus F Thomas Individual Corporate DirectorBoard of Directors Mar 15, 2000
Barbara J Carr Individual Corporate DirectorBoard of Directors Jun 18, 1997
Steven R Olson Individual Corporate DirectorBoard of Directors Aug 13, 2008
Catherine Lester Individual Corporate DirectorBoard of Directors Jan 17, 1990
Claudia Schwartz Individual Corporate DirectorBoard of Directors Oct 17, 1990
Robert Mendes Individual Corporate DirectorBoard of Directors Dec 13, 1995
Jose R de la Garza Individual Corporate DirectorBoard of Directors Jul 29, 1985
Facika Tafara Individual Corporate OfficerMedical Director Oct 28, 2008
W-2 Managing Employee Mar 3, 2003
Wayne R Anderson Individual Corporate DirectorBoard of Directors Jun 20, 2007
Janice Gilmore-See Individual Corporate DirectorBoard of Directors Nov 18, 1998
Fran Butler-Cohen Individual Corporate OfficerChief Executive Officer Jan 21, 1986
W-2 Managing EmployeeChief Executive Officer Jan 21, 1986
Cesar a Solis Individual Corporate DirectorBoard of Directors Jun 21, 2006

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 77

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 77

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1083959464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 GATEWAY CENTER WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921024541",
            "telephone_number": "619-515-2300",
            "fax_number": "619-237-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 L ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111523",
            "telephone_number": "619-515-2500",
            "fax_number": "619-934-9578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CENTERS OF SAN DIEGO INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY HEALTH CENTERS OF SAN DIEGO",
        "enumeration_date": "2012-12-11",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "619-515-2300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RICE FAMILY HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.