SAN YSIDRO HEALTH ADULT DAY HEALTH CARE-CHULA VISTA – NPI #1295228328
Clinic/Center

SAN YSIDRO HEALTH ADULT DAY HEALTH CARE-CHULA VISTA is an AHC clinic located in CHULA VISTA, CA. NPPES has assigned the NPI number 1295228328 to SAN YSIDRO HEALTH ADULT DAY HEALTH CARE-CHULA VISTA on June 13, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SAN YSIDRO HEALTH ADULT DAY HEALTH CARE-CHULA VISTA” is a dba name, the actual legal business name for this organization is CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC. 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)

The NPI profile was previously updated about 7 years ago on Nov 06, 2019. 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 SAN YSIDRO HEALTH ADULT DAY HEALTH CARE-CHULA VISTA below.

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

NPI Number
1295228328
Enumeration Date

(about 8 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
Doing Business As (dba): SAN YSIDRO HEALTH ADULT DAY HEALTH CARE-CHULA VISTA
Primary location
880 THIRD AVE STE A
CHULA VISTA, CA 91911
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
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.