Family Health Centers of San Diego, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

FAMILY HEALTH CENTERS OF SAN DIEGO, INC.

Doing business as

National City Family Health Center

Practice address

1000 Euclid Ave
National City, CA 91950-3856

Phone

(619) 515-2399

Fax

(619) 269-0199

NPI assigned

Oct 27, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Ricardo Roman

Title

Cfo

Phone

(619) 515-2300

Specialties & licenses 1

Addresses

Other names 1

• NATIONAL CITY FAMILY HEALTH CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417409228. Details of each certification follow.

• CCN 751936 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 751936

Legal name

FAMILY HEALTH CENTERS OF SAN DIEGO INC

Doing business as

NATIONAL CITY FAMILY HEALTH CENTER

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Mar 6, 2017

Last certification

Mar 6, 2017

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

May 23, 1977 in CA

Enrollment address

1000 Euclid Ave
National City, CA 91950-3856

All disclosed owners & managing parties 13

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

Owners & managing parties with NPI records 1

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

• Christopher Jon Gordon, MD

  • Family Medicine Physician
  • El Cajon, CA
  • NPI 1477711521

  W-2 Managing Employee

  CMS ownership

Practitioners 9

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.

• Arya Lalithakumari

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1265874010
  Medicare reassignment Care Compare group NPD
• Nicholas Kroesing Albino, MD

  • Pediatrics Physician
  • San Diego, CA
  • NPI 1740843499
  Medicare reassignment NPD
• Jina Paola Chavarro Cubides

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1962002683
  Medicare reassignment NPD
• Anthony Craig Ferrugia Jr.

  • Social Worker
  • San Diego, CA
  • NPI 1578160362
  Medicare reassignment NPD
• Shannon Jauregui Hyde, MFT

  • Marriage & Family Therapist
  • Imperial Beach, CA
  • NPI 1083484752
  Medicare reassignment NPD
• Kyle Lynch, PT, DPT

  • Physical Therapist
  • Chula Vista, CA
  • NPI 1477129310
  Medicare reassignment NPD
• Sandra Angelica Saucedo-Salgado, LCSW

  • Clinical Social Worker
  • Chula Vista, CA
  • NPI 1609395292
  Medicare reassignment NPD
• Alexis Taylor, OT

  • Pediatric Occupational Therapist
  • San Diego, CA
  • NPI 1013769116
  Medicare reassignment NPD
• Kristin Kupka Webster, LCSW

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1902336837
  Medicare reassignment NPD

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1417409228",
    "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": "619-237-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EUCLID AVE",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919503856",
            "telephone_number": "619-515-2399",
            "fax_number": "619-269-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CENTERS OF SAN DIEGO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2025-09-02",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "CFO",
        "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": "NATIONAL CITY FAMILY HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalia Rocha Estrada
• Yolanda Estrada
• Eusebio Dental Corporation
• Evelyn R. Blazado, M.D., Inc. (Pathology Associates of Paradise Valley, Inc.)
• Glen Fabian
• Dexter Fang
• Danish Mohammed Farook, PFT TECH.
• Kristy Lynn Farook, RCP
• Aaron Michael Fazio
• Frendhel Fejeran

• Federally Qualified Health Center (FQHC) in National City, CA
• Providers in National City, CA by specialty
• Federally Qualified Health Center (FQHC) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.