St. Vincent de Paul Village, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

ST. VINCENT DE PAUL VILLAGE, INC

Practice address

16 15TH St
San Diego, CA 92101-8005

Phone

(619) 233-8500

Fax

(619) 645-6470

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Brissa Chavez

Title

Supervisor of Clinic Administration

Phone

(619) 233-8500

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• St. Vincent de Paul Village Family Health Center Other name

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Federally qualified health center certification: CCN 551034

Legal name

ST VINCENT DE PAUL VILLAGE INC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Oct 13, 2009

Last certification

Oct 13, 2009

Ownership / control type

Non-profit – church related

Organization structure

CorporationNon-profit

Incorporated

May 30, 1992 in CA

Enrollment address

1501 Imperial Ave
San Diego, CA 92101-7638

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 22

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.

• Jeffrey Michael Norris, MD

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1073870374

  W-2 Managing Employee

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa E Bishop, MD

  • Family Medicine Physician
  • Escondido, CA
  • NPI 1578667077
  Medicare reassignment NPD
• Sara T Junya, M.D.

  • Obstetrics & Gynecology Physician
  • San Diego, CA
  • NPI 1508131756
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1659415131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 E ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921023332",
            "telephone_number": "619-233-8500",
            "fax_number": "619-645-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 15TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921018005",
            "telephone_number": "619-233-8500",
            "fax_number": "619-645-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT DE PAUL VILLAGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "BRISSA",
        "authorized_official_title_or_position": "SUPERVISOR OF CLINIC ADMINISTRATION",
        "authorized_official_telephone_number": "619-233-8500"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "09000297",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMM70389F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Vincent de Paul Village Family Health Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "St. Vincent de Paul Village Family Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Donna Anderson St.Clair, MA, MFT
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• Federally Qualified Health Center (FQHC) in San Diego, CA
• Providers in San Diego, 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 Jul 1, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.