SAN YSIDRO HEALTH PRECISION PARK
NPI 1124782685
Clinic/Center - Federally Qualified Health Center (FQHC) in San Diego, CA
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
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)
San Ysidro Health Precision Park 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 Precision Park, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 226 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 1124782685. It was assigned to this organization in the NPPES registry on October 29, 2021. The provider is doing business as San Ysidro Health Precision Park.
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 1666 Precision Park Ln, San Diego, CA 92173. 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, 10 practice at this address and 226 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 November 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 Precision Park · NPI 1124782685
Federally Qualified Health Center (FQHC) organization in San Diego, California. Organization record, active in the CMS NPPES registry since October 29, 2021.
## Identity
- **NPI:** 1124782685 (Entity type: Organization)
- **Enumerated:** October 29, 2021
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Centro De Salud De La Comunidad De San Ysidro, Inc.
- **Organization subpart:** No
- **Authorized official:** William Wallace, VP/CFO
## Practice location
- **Address:** 1666 PRECISION PARK LN, San Diego, CA 92173-1346
- **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); 10 practice at this address and 226 within 10 miles; [full list](https://npiprofile.com/npi/1124782685/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 18, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1124782685) · Data from the CMS NPPES public registry.