| Diamond Neighborhoods Family Health Center | |
|
4725 Market St San Diego CA 92102-4715 | |
| (619) 515-2326 | |
| (619) 683-7570 |
| Full Name | Diamond Neighborhoods Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 4725 Market St, San Diego, California |
| Authorized Official Name and Position | Ricardo Roman (CFO) |
| Authorized Official Contact | 6199064603 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diamond Neighborhoods Family Health Center 823 Gateway Center Way San Diego CA 92102-4541 Ph: (619) 515-2300 | Diamond Neighborhoods Family Health Center 4725 Market St San Diego CA 92102-4715 Ph: (619) 515-2326 |
| NPI Number | 1982747671 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 02/19/2024 |
| Medicare PECOS PAC ID | 3476446378 |
|---|---|
| Medicare Enrollment ID | O20070806000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982747671 | NPI | - | NPPES |
| 051101 | Other | CA | MEDICARE NGS |
| HAP71172F | Other | CA | FAMILY P.A.C.T. |
| BE886Y | Other | CA | MEDICARE PALMETTO GBA |
| BCP71172F | Other | CA | CDP |
| FHC71172F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
Revivify Restorative Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16445 Bernardo Center Dr, San Diego, CA 92128 Phone: 858-429-0099 Fax: 858-676-1172 | |
Nucleus Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4570 Executive Dr Ste 100, San Diego, CA 92121 Phone: 844-838-3322 | |
Moden Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8901 Activity Rd Ste 205, San Diego, CA 92126 Phone: 888-822-1184 Fax: 888-877-3676 | |
Aldiwani Medical Group Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11409 Windy Summit Pl, San Diego, CA 92127 Phone: 832-371-3279 Fax: 619-939-4556 | |
Presidio Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4440 Lamont St, San Diego, CA 92109 Phone: 858-270-7633 Fax: 858-270-7692 | |
Michael L Butera Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6699 Alvarado Rd Ste 2309, San Diego, CA 92120 Phone: 619-286-8803 Fax: 619-286-2344 | |
San Diego Digestive Disease Consultants, Inc. A Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8008 Frost St, Ste 200, San Diego, CA 92123 Phone: 858-292-7527 Fax: 858-292-7804 |