National Medical Association Comprehensive Health Center

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

090000618 Issued in CA

Legal business name

NATIONAL MEDICAL ASSOCIATION COMPREHENSIVE HEALTH CENTER

Practice address

120 Elm St
Suite 100
San Diego, CA 92101-2602

Phone

(619) 235-4211

Fax

(619) 235-4517

NPI assigned

Jan 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael H Owens, MD, MPH, FACPE, CPE

Title

Ceo & Cmo

Phone

(619) 231-3200

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• NMA Comprehensive Health Center Other name

Tax ID family

National Medical Association Comprehensive Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nma Comprehensive Health Center

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1013194323
  NPD tax ID

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1780861005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 26TH ST",
            "address_2": "SUITE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921023026",
            "telephone_number": "619-231-3200",
            "fax_number": "619-231-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ELM ST",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012602",
            "telephone_number": "619-235-4211",
            "fax_number": "619-235-4517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL MEDICAL ASSOCIATION COMPREHENSIVE HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO & CMO",
        "authorized_official_telephone_number": "619-231-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH, FACPE, CPE"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "090000618",
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "090000618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "BCP70794F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NMA Comprehensive Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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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 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.