NPIMap

Organization Active NPI

Family and Preventiive Medical Center

  • Clinic/Center
  • Chula Vista, CA
National Provider Identifier
1932187366
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
11952 Issued in CA
Legal business name
FAMILY AND PREVENTIIVE MEDICAL CENTER
Practice address
13176 Calle de Los Ninos San Diego, Ca 92129 2919
1415 Ridgeback Road #4
Chula Vista, CA 91910-6983
Phone
(619) 421-4257
NPI assigned
Jan 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Prof. Belen Mayela Sarwacinski, FNPNPI 1730394990
Title
FNP
Phone
(619) 421-4257

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 11952 CA Primary

Addresses

Primary practice location

13176 Calle de Los Ninos San Diego, Ca 92129 2919
1415 Ridgeback Road #4
Chula Vista, CA 91910-6983

Mailing address

13176 Calle de Los Ninos San Diego, Ca 92129
1415 Ridge Back Road #4
Chula Vista,, CA 91910-0000
Phone (619) 421-4257

Other names 1

  • FAMILY AND PREVENTIVE MEDICAL CENTER Other name

National Provider Directory

National Provider Directory
Tax ID family
Family and Preventiive Medical 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.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1932187366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13176 CALLE DE LOS NINOS SAN DIEGO, CA 92129",
            "address_2": "1415 RIDGE BACK ROAD #4",
            "city": "CHULA VISTA,",
            "state": "CA",
            "postal_code": "919100000",
            "telephone_number": "619-421-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13176 CALLE DE LOS NINOS SAN DIEGO, CA 92129 2919",
            "address_2": "1415 RIDGEBACK ROAD #4",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106983",
            "telephone_number": "619-421-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AND PREVENTIIVE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-05",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "SARWACINSKI",
        "authorized_official_first_name": "BELEN",
        "authorized_official_middle_name": "MAYELA",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "619-421-4257",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "11952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY AND PREVENTIVE MEDICAL CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.