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CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC
NPI 1023608601
Clinic/Center - Federally Qualified Health Center (FQHC) in Chula Vista, CA

Active since January 19, 2021
1061 TIERRA DEL REY, STE 303, 304, 305, CHULA VISTA, CA 91910(619) 662-4100 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Centro De Salud De La Comunidad De San Ysidro Inc NPPES

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

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC (NPI 1023608601), doing business as San Ysidro Health Tierra Del Rey, is a healthcare organization registered as a federally qualified health center (fqhc) in Chula Vista, California and active in the NPI registry since January 2021. The organization lists William Brian Wallace, Cfo/vp, as its authorized official.

NPPES Registry Identity

NPI1023608601
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC
Location Address1061 TIERRA DEL REY, STE 303, 304, 305Chula Vista, CA 91910
Mailing Address1601 Precision Park LnSan Diego, CA 92173-1345 · (619) 662-4100
Phone(619) 662-4100
Organization SubpartNo
Authorized OfficialWilliam Brian WallaceCfo/vp · (619) 205-6339
Enumeration DateJanuary 19, 2021
NPPES CertifiedJanuary 18, 2021
✔ NPI 1023608601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1061 TIERRA DEL REY, Chula Vista, CA 91910
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Other Names 1

Doing Business AsSan Ysidro Health Tierra Del Rey

Other Providers at the Same Location NPPES 6

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

JEFFERY ALLEN WILLIAMS LCSW
Social Worker (Clinical)
1061 TIERRA DEL REY, SUITE 200
CHULA VISTA, CA 91910
San Diego County (619) 498-5454
DR. LETICIA S. HENNESSEY PSY.D.
Psychologist
1061 TIERRA DEL REY, #200
CHULA VISTA, CA 91910
San Diego County (619) 498-5454
LINDA BETH ROBBINS LCSW
Social Worker (Clinical)
1061 TIERRA DEL REY, SUITE#200
CHULA VISTA, CA 91910
San Diego County (619) 498-5454
MRS. MONICA ARELLANO LMFT
Marriage & Family Therapist
1061 TIERRA DEL REY, SUITE 200
CHULA VISTA, CA 91910
San Diego County (619) 498-5454
REBECCA FUENTES NP STUDENT
Student in an Organized Health Care Education/Training Program
1061 TIERRA DEL REY
CHULA VISTA, CA 91910
San Diego County (619) 498-5454
MELANIE AGUILO VIZON RN. NP
Nurse Practitioner (Psychiatric/Mental Health)
1061 TIERRA DEL REY, SUITE 200
CHULA VISTA, CA 91910
San Diego County (619) 498-5454

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 1023608601. It was assigned to this organization in the NPPES registry on January 19, 2021. The provider is doing business as San Ysidro Health Tierra Del Rey.

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 1061 Tierra Del Rey Ste 303, 304, 305, Chula Vista, CA 91910. The listed phone number is (619) 662-4100.

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 Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

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 January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.