SAN YSIDRO HEALTH PRECISION PARK
NPI 1124782685
Clinic/Center - Federally Qualified Health Center (FQHC) in San Diego, CA

Q: 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.

Active since October 29, 2021

1666 PRECISION PARK LN, SAN DIEGO, CA 92173(619) 662-4100 Get Directions Write a Review

NPPES record last updated: November 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2022, Nov 1, 2021 (2 updates tracked since 2021).

On this page

About San Ysidro Health Precision Park NPPES

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

SAN YSIDRO HEALTH PRECISION PARK (NPI 1124782685) is a healthcare organization registered as a federally qualified health center (fqhc) in San Diego, California and active in the NPI registry since October 2021. The organization lists William Brian Wallace, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1124782685

Entity TypeOrganization

Primary Taxonomy261QF0400X

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) 662-4100

Phone(619) 662-4100

Organization SubpartNo

Authorized OfficialWilliam Brian WallaceVp/cfo · (619) 205-6339

Enumeration DateOctober 29, 2021

Last NPPES UpdateNovember 18, 20222 updates tracked since enumeration

NPPES CertifiedNovember 18, 2022

✔ NPI 1124782685 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

1666 PRECISION PARK LN, San Diego, CA 92173

Open in Google Maps ↗

Other Names 1

Doing Business AsSan Ysidro Health Precision Park

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.

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.

Clinic/Center (Adolescent and Children Mental Health)

1666 PRECISION PARK LN
SAN DIEGO, CA 92173

San Diego County (619) 428-1330

MS. GRACIELA CASTELLANOS MA IN MFT

Counselor