SAN YSIDRO HEALTH YOUTH ENHANCEMENT SERVICES
NPI 1013119569
Clinic/Center - Adolescent and Children Mental Health in San Diego, CA

Active since June 05, 2007
1666 PRECISION PARK LN, SAN DIEGO, CA 92173(619) 428-1330(619) 482-7952 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 19, 2018, Nov 6, 2018, Nov 17, 2017 (3 updates tracked since 2017).

About San Ysidro Health Youth Enhancement Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN YSIDRO HEALTH YOUTH ENHANCEMENT SERVICES (NPI 1013119569) is a healthcare organization registered as an adolescent and children mental health in San Diego, California and active in the NPI registry since June 2007. The organization lists Brian Wallace, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1013119569
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameCENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Location Address1666 PRECISION PARK LNSan Diego, CA 92173-1346
Mailing Address1601 Precision Park LnSan Diego, CA 92173-1345 · (619) 428-1330 · Fax (619) 482-7952
Fax(619) 482-7952
Organization SubpartNo
Authorized OfficialBrian WallaceVp/cfo · (619) 662-4100
Enumeration DateJune 5, 2007
Last NPPES UpdateJune 3, 20223 updates tracked since enumeration
NPPES CertifiedJune 3, 2022
NPI 1013119569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

1666 PRECISION PARK LN, San Diego, CA 92173

Other Names 1

Doing Business AsSan Ysidro Health Youth Enhancement Services

Other Identifiers 1

MedicaidFHC18880FCA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
1666 PRECISION PARK LN
SAN YSIDRO, CA 92173
Family Medicine
1666 PRECISION PARK LN
SAN YSIDRO, CA 92173
Social Worker (Clinical)
1666 PRECISION PARK LN
SAN YSIDRO, CA 92173
Nurse Practitioner (Family)
1666 PRECISION PARK LN
SAN YSIDRO, CA 92173
Clinic/Center (Federally Qualified Health Center (FQHC))
1666 PRECISION PARK LN
SAN DIEGO, CA 92173
Psychiatry & Neurology (Psychiatry)
1666 PRECISION PARK LN
SAN YSIDRO, CA 92173
Marriage & Family Therapist
1666 PRECISION PARK LN
SAN DIEGO, CA 92173
Marriage & Family Therapist
1666 PRECISION PARK LN
SAN DIEGO, CA 92173

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centro De Salud De La Comunidad De San Ysidro, Inc.'s NPI number?

The NPI number for Centro De Salud De La Comunidad De San Ysidro, Inc. is 1013119569. It was assigned to this organization in the NPPES registry on June 5, 2007. The provider is doing business as San Ysidro Health Youth Enhancement Services.

Where is Centro De Salud De La Comunidad De San Ysidro, Inc. located?

Centro De Salud De La Comunidad De San Ysidro, Inc. is located at 1666 Precision Park Ln, San Diego, CA 92173. The listed phone number is (619) 428-1330.

What is Centro De Salud De La Comunidad De San Ysidro, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Centro De Salud De La Comunidad De San Ysidro, Inc. was last updated on June 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.