SAN YSIDRO HEALTH PHARMACY MOUNTAIN HEALTH
NPI 1063133015
Pharmacy - Community/Retail Pharmacy in Campo, CA
About San Ysidro Health Pharmacy Mountain Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAN YSIDRO HEALTH PHARMACY MOUNTAIN HEALTH (NPI 1063133015) is a healthcare organization registered as a community/retail pharmacy in Campo, California and active in the NPI registry since September 2022. The organization lists Kevin Mattson, President & Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
San Ysidro Health Pharmacy Mountain Health 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 San Ysidro Health Pharmacy Mountain Health, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 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 1063133015. It was assigned to this organization in the NPPES registry on September 8, 2022. The provider is doing business as San Ysidro Health Pharmacy Mountain Health.
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 1388 Buckman Springs Rd, Campo, CA 91906. 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 Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.
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, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Centro De Salud De La Comunidad De San Ysidro Inc accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 43 other insurers list Centro De Salud De La Comunidad De San Ysidro Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 September 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# San Ysidro Health Pharmacy Mountain Health · NPI 1063133015
Community/Retail Pharmacy organization in Campo, California. Organization record, active in the CMS NPPES registry since September 8, 2022.
## Identity
- **NPI:** 1063133015 (Entity type: Organization)
- **Enumerated:** September 8, 2022
- **Primary specialty:** Pharmacy - Community/Retail Pharmacy · taxonomy 3336C0003X
- **Legal business name:** Centro De Salud De La Comunidad De San Ysidro Inc
- **Organization subpart:** No
- **Authorized official:** Kevin Mattson, PRESIDENT & CEO
## Practice location
- **Address:** 1388 BUCKMAN SPRINGS RD, Campo, CA 91906-2028
- **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); 3 practice at this address and 5 within 10 miles; [full list](https://npiprofile.com/npi/1063133015/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 23, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1063133015) · Data from the CMS NPPES public registry.