CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC. – NPI #1245917707
Clinic/Center

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC. is an AHC clinic located in SAN YSIDRO, CA. NPPES has assigned the NPI number 1245917707 to CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC. on June 28, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC. below.

NPI Profile for
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.

NPI Number
1245917707
Enumeration Date

(about 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Primary location
4004 BEYER BLVD
SAN YSIDRO, CA 92173-2007
Phone: (619) 662-4100 Fax:
Mailing address
1601 PRECISION PARK LN
SAN DIEGO, CA 92173-1345
Phone: (619) 662-4100 Fax:
Organization Subpart
No
Authorized Official
KEVIN MATTSON
PRESIDENT & CEO
Phone: (619) 662-4100
Updated
Certification Date
Jun 14, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.