The Davis Street Community Center Incorporated
NPI 1215358924 · Federally Qualified Health Center (FQHC) · San Leandro, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
The Davis Street Community Center Incorporated is a Federally Qualified Health Center (FQHC) organization in San Leandro, CA (NPI 1215358924).
Provider details
- NPI number
- 1215358924
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rosalia Mcmillen, Chief Fiscal Officer(510) 347-4620
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community Health Clinic/Center261QC1500X
Ambulatory Health Care Facilities
- Dental Clinic/Center261QD0000X
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Mailing address
Other names (DBA / former)
- Doing business as
- Davis Street Primary Care Clinic
- Doing business as
- Davis Street Primary Care Clinic
Registry dates
- Enumerated
- 2013-12-23
- Last updated
- 2020-04-01
- Certified
- 2020-04-01
Frequently asked questions
- What is The Davis Street Community Center Incorporated's NPI number?
- The Davis Street Community Center Incorporated's National Provider Identifier (NPI) is 1215358924, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Davis Street Community Center Incorporated?
- The Davis Street Community Center Incorporated is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is The Davis Street Community Center Incorporated located?
- The Davis Street Community Center Incorporated's practice location on file with NPPES is 3081 Tegarden, San Leandro, CA 94577-5720.
- What is The Davis Street Community Center Incorporated's phone number?
- The practice phone number listed in the NPPES registry for The Davis Street Community Center Incorporated is (510) 347-4620.
- Does The Davis Street Community Center Incorporated accept Medicare?
- The Davis Street Community Center Incorporated is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for The Davis Street Community Center Incorporated?
- The authorized official listed on The Davis Street Community Center Incorporated's NPPES record is Rosalia Mcmillen, Chief Fiscal Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Davis Street Community Center Incorporated's NPI active?
- Yes — The Davis Street Community Center Incorporated's NPI (1215358924) is active in the NPPES registry as of the last update on 2020-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.