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SAN YSIDRO HEALTH CLINIC
NPI 1053541409
Clinic/Center - Primary Care in San Ysidro, NM

Active since July 20, 2009
348 STATE ROAD 4, SAN YSIDRO, NM 87053(505) 321-9935(575) 289-2688 Get Directions Write a Review

NPPES record last updated: December 22, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About San Ysidro Health Clinic NPPES

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

SAN YSIDRO HEALTH CLINIC (NPI 1053541409) is a healthcare organization registered as a primary care in San Ysidro, New Mexico and active in the NPI registry since July 2009. The organization lists Paula M Enyeart, C0-director, as its authorized official.

NPPES Registry Identity

NPI1053541409
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePAULA S PRACTICE
Location Address348 STATE ROAD 4San Ysidro, NM 87053-0348
Mailing AddressPo Box 1629Cuba, NM 87013-1629 · (505) 321-9935 · Fax (575) 289-2688
Phone(505) 321-9935
Fax(575) 289-2688
Organization SubpartNo
Authorized OfficialPaula M EnyeartC0-director · (505) 321-9935
Enumeration DateJuly 20, 2009
Last NPPES UpdateDecember 22, 2009
✔ NPI 1053541409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NM · R31220
348 STATE ROAD 4, San Ysidro, NM 87053
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Other Names 1

Doing Business AsSan Ysidro Health Clinic

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 Paula S Practice's NPI number?

The NPI number for Paula S Practice is 1053541409. It was assigned to this organization in the NPPES registry on July 20, 2009. The provider is doing business as San Ysidro Health Clinic.

Where is Paula S Practice located?

Paula S Practice is located at 348 State Road 4, San Ysidro, NM 87053. The listed phone number is (505) 321-9935.

What is Paula S Practice's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Paula S Practice was last updated on December 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.