SAN YSIDRO HEALTH MOBILE HEALTH SERVICES 1G (CENTRO DE SALUD DE LA COMMUNIDAD DE SAN YSIDRO, INC) NPI 1003033234

Clinic/Center (Rural Health) in San Ysidro, CA

NPI 1003033234 Organization Clinic/Center Rural Health

About SAN YSIDRO HEALTH MOBILE HEALTH SERVICES 1G (CENTRO DE SALUD DE LA COMMUNIDAD DE SAN YSIDRO, INC)

San Ysidro Health Mobile Health Services 1g (centro De Salud De La Communidad De San Ysidro, Inc) is a primary care provider established in San Ysidro, California specializing in clinic/center (rural health) . The NPI number of San Ysidro Health Mobile Health Services 1g (centro De Salud De La Communidad De San Ysidro, Inc) is 1003033234 and was assigned on April 2007. The practitioner's primary taxonomy code is 261QR1300X with license number 550000116 (CA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as San Ysidro Health Mobile Health Services 1g. The authorized official of this NPI record is Kevin Mattson (President/ceo)

A primary care provider (PCP) like San Ysidro Health Mobile Health Services 1g sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

NPI

1003033234

Provider NameSAN YSIDRO HEALTH MOBILE HEALTH SERVICES 1G (CENTRO DE SALUD DE LA COMMUNIDAD DE SAN YSIDRO, INC)
Provider Location Address4004 BEYER BLVD SAN YSIDRO, CA 92173
Provider Mailing Address1601 PRECISION PARK LN SAN DIEGO, CA 92173
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameSAN YSIDRO HEALTH MOBILE HEALTH SERVICES 1G
Other Name TypeDoing Business As (3)
Enumeration Date04-19-2007
Last Update Date11-06-2019


Primary Taxonomy

Taxonomy Code261QR1300X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationRural Health
License No.550000116
License StateCA

Business Address

SAN YSIDRO HEALTH MOBILE HEALTH SERVICES 1G
4004 BEYER BLVD
SAN YSIDRO, CA
ZIP 92173
Phone: (619) 205-6331
Fax: (619) 428-7952

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Mailing Address

SAN YSIDRO HEALTH MOBILE HEALTH SERVICES 1G
1601 PRECISION PARK LN
SAN DIEGO, CA
ZIP 92173
Phone: (619) 662-4100
Fax: (619) 428-7952



Authorized Official

Authorized Official Name KEVIN MATTSON
Authorized Official TitlePRESIDENT/CEO
Authorized Official Phone(619) 662-4100

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407852098DR. SUZANNE K BECKER MD
Individual
Family Medicine4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 662-4100
1114929841 TERRENCE MCCARTHY RPH
Individual
Pharmacist4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 662-4151
1992777882DR. ELENA MARIA BAUTISTA SACAMAY MD
Individual
Internal Medicine4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 428-4463
1336193655MS. LYNDSAY J. SILVER NP
Individual
Nurse Practitioner4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 428-4463
1982617494DR. EDWARD M GOLDSTEIN MD
Individual
Obstetrics & Gynecology4004 BEYER BLVD
SAN YSIDRO, CA 92173
(319) 428-4463
1578576070 NANCY E MARTINEZ NMW
Individual
Midwife4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 428-4463
1982617403DR. RAMON SY MD
Individual
Internal Medicine4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 428-4463
1518970037DR. ANDREA M HERMAN MD
Individual
Pediatrics4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 428-4463
1053324541DR. PATRICIA A GOMEZ-NARANJO MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 428-4463
1780697276DR. TIMOTHY D SAHMS MD
Individual
Pediatrics4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 428-4463
1417960915DR. JESUS SANCHEZ MD
Individual
Psychiatry & Neurology (Psychiatry)4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 428-4463
1235142738DR. JEFFERSON C HENDRIX MD
Individual
Family Medicine4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 428-4463
1144233644DR. RACHEL ANN IRELAND MD
Individual
Pediatrics4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 428-4463
1740394386DR. BERENICE IBANEZ PH.D.
Individual
Psychologist4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 428-5561
1720181829DR. JAMES E CEVALLOS MD
Individual
Family Medicine4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 428-4463
1811090384DR. LUCELLY CAMPOS DDS
Individual
Dentist4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 428-4463
1720181290DR. SERGIO CUEVAS DDS
Individual
Dentist4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 428-4463
1225131790DR. GUILLERMO SHIROMA DDS
Individual
Dentist4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 428-4463
1073610960 JAY DOWNEY M.D.
Individual
Family Medicine4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 424-4463
1528150778DR. JORGE A MATA MD
Individual
Family Medicine4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 428-4463

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.