OrganizationActive
Family Health Centers of San Diego, Inc
NPI 1124738422 · Federally Qualified Health Center (FQHC) · Chula Vista, CA
Provider details
- NPI number
- 1124738422
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Family Health Centers of San Diego, Inc
- Organization subpart
- Yes
- Authorized official
- Ricardo Roman, Chief Financial Officer(619) 515-2300
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
264 Landis Ave Ste 200
Chula Vista, CA 91910-2651
Phone: (619) 269-8656
Fax: (619) 269-8657
Street-level locationGet directions
Mailing address
823 Gateway Center Way
San Diego, CA 92102-4541
Other names (DBA / former)
- Doing business as
- Landis Avenue Dental Services
- Doing business as
- Landis Avenue Dental Services
Registry dates
- Enumerated
- 2022-11-29
- Last updated
- 2024-02-20
- Certified
- 2024-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.