MC
Medical Clinic
MID-CITY COMMUNITY CLINIC (PEDIATRICS)
4305 UNIVERSITY AVE, SUITE 150, SAN DIEGO, CA 92105
Source updated 2026-10-16. Source-listed location, not a NursingHomes.io endorsement. Confirm operating status, care availability, and services directly.
Official provider information
- CCN
- 551941
- LTC
- NON-LTC
- NPI
- 1962483040
- ZIP
- 92105
- id
- 1983
- CITY
- SAN DIEGO
- FLAG
- Not reported
- ZIP9
- 1690
- rank
- 0.0706241
- AO CD
- Not reported
- FACID
- 090001590
- DEEMED
- 0
- T18 19
- Not reported
- ADDRESS
- 4305 UNIVERSITY AVE, SUITE 150
- AO NAME
- Not reported
- FACNAME
- MID-CITY COMMUNITY CLINIC (PEDIATRICS)
- FAC FDR
- PRIMARY CARE CLINIC
- HCAI ID
- 306374324
- CAPACITY
- 0
- LATITUDE
- 32.749209
- LOCATION
- (-117.101448,32.749209)
- DATA DATE
- 2026-10-16T00:00:00
- ISFACMAIN
- Y
- LONGITUDE
- -117.101448
- CCLHO CODE
- 37
- CCLHO NAME
- SAN DIEGO
- START DATE
- Not reported
- TRAUMA CTR
- Not reported
- ASPEN FACID
- CA090001590
- COUNTY CODE
- 470
- COUNTY NAME
- SAN DIEGO
- TERMINAT SW
- Not reported
- AO TRMNTN DT
- Not reported
- DMG EFCTV DT
- Not reported
- PARENT FACID
- Not reported
- TYPE OF CARE
- Not reported
- APPROVAL DATE
- 2003-11-21T00:00:00
- BUSINESS NAME
- SAN DIEGO FAMILY CARE
- DISTRICT NAME
- SAN DIEGO
- FAC TYPE CODE
- COMTYC
- LICENSE NUMBER
- 90000672
- TRAUMA PED CTR
- Not reported
- DISTRICT NUMBER
- 10
- FIPS COUNTY CODE
- 6073
- LICENSED CERTIFIED
- LICENSED AND CERTIFIED
- PARTICIPATION DATE
- 2003-11-18T00:00:00
- CONTACT PHONE NUMBER
- (619) 280-2058
- FAC STATUS TYPE CODE
- OPEN
- INITIAL LICENSE DATE
- 2003-09-25T00:00:00
- BIRTHING FACILITY FLAG
- Not reported
- CAN BE DEEMED FAC TYPE
- N
- LICENSE EFFECTIVE DATE
- 2025-12-08T00:00:00
- ENTITY TYPE DESCRIPTION
- NONPROFIT CORP
- LICENSE EXPIRATION DATE
- 2026-12-07T00:00:00
- CRITICAl ACCESS HOSPITAL
- Not reported
- CAN BE CERTIFIED FAC TYPE
- Y
- LICENSE STATUS DESCRIPTION
- ACTIVE
- FAC FAC RELATIONSHIP TYPE CODE
- PARENT
COMMUNITY EXPERIENCE
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