CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC
NPI 1023608601
Clinic/Center - Federally Qualified Health Center (FQHC) in Chula Vista, CA
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
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Centro De Salud De La Comunidad De San Ysidro Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
576Medicare enrollment records show 576 clinicians reassign Medicare billing to Centro De Salud De La Comunidad De San Ysidro Inc, which bills Medicare for the services they deliver. Of these, 285 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 36
Nearest to this location (20)
See all 576Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Centro De Salud De La Comunidad De San Ysidro Inc enrolled in Medicare?
Yes. Centro De Salud De La Comunidad De San Ysidro Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Centro De Salud De La Comunidad De San Ysidro Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 576 clinicians in 36 Medicare specialties reassign their Medicare billing to Centro De Salud De La Comunidad De San Ysidro Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (151), Internal Medicine (80) and Nurse Practitioner (62). Of these, 285 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Centro De Salud De La Comunidad De San Ysidro Inc · NPI 1023608601
Federally Qualified Health Center (FQHC) organization in Chula Vista, California. Organization record, active in the CMS NPPES registry since January 19, 2021.
## Identity
- **NPI:** 1023608601 (Entity type: Organization)
- **Enumerated:** January 19, 2021
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** San Ysidro Health Tierra Del Rey (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** William Wallace, CFO/VP
## Practice location
- **Address:** 1061 TIERRA DEL REY, STE 303, 304, 305, Chula Vista, CA 91910
- **Phone:** (619) 662-4100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 576 clinicians in 36 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (151), Internal Medicine (80), Nurse Practitioner (62); 285 practice within 10 miles; [full list](https://npiprofile.com/npi/1023608601/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 19, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1023608601) · Data from the CMS NPPES public registry.