| Operation Samahan Granger School Based Health Center | |
|
2101 Granger Ave. Suite 101a National City CA 91950-6208 | |
| (844) 200-2426 | |
| (619) 356-2726 |
| Full Name | Operation Samahan Granger School Based Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2101 Granger Ave. Suite 101a, National City, California |
| Authorized Official Name and Position | Archie Bella (CEO/CMO) |
| Authorized Official Contact | 8442002426 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Operation Samahan Granger School Based Health Center 1428 Highland Avenue National City CA 91950-4624 Ph: (844) 200-2426 | Operation Samahan Granger School Based Health Center 2101 Granger Ave. Suite 101a National City CA 91950-6208 Ph: (844) 200-2426 |
| NPI Number | 1205134517 |
|---|---|
| Provider Enumeration Date | 03/10/2011 |
| Last Update Date | 10/20/2022 |
| Medicare PECOS PAC ID | 7911932645 |
|---|---|
| Medicare Enrollment ID | O20121012000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205134517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 550002622 (California) | Primary |
Primary Care Physicians Of South Bay Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2340 E 8th St, Suite A, National City, CA 91950 Phone: 619-267-9047 Fax: 619-267-7955 | |
San Ysidro Health National City Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1136 D Avenue, National City, CA 91950 Phone: 619-336-2300 Fax: 619-336-2323 | |
Elena P. Vitug M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Euclid Ave, Suite 201, National City, CA 91950 Phone: 619-475-6204 Fax: 619-475-5174 | |
Marianito D Sevilla Md Inc Apc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2340 E 8th St, Suite D, National City, CA 91950 Phone: 619-470-7007 Fax: 619-470-9379 | |
Arwinnah Bautista Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1430 E Plaza Blvd Ste E18&e19a, National City, CA 91950 Phone: 619-434-2813 Fax: 855-631-3720 | |
La Maestra Community Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Highland Ave Ste A, National City, CA 91950 Phone: 619-434-7308 Fax: 619-434-7310 | |
San Antonio Family Medical Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 36 N Euclid Ave Ste C, National City, CA 91950 Phone: 619-255-2950 Fax: 619-756-6981 |