1. Home
  2. Directory
  3. California
  4. Vista
  5. Program Of All Inclusive Care For The Elderly Pace Provider Organization
  6. NPI Profile

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
NPI 1124793732
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Vista, CA

Active since August 16, 2021

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 27, 2026, Jan 16, 2026, Aug 16, 2021 (3 updates tracked since 2021).

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 1124793732), doing business as San Diego Pace Vista, is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Vista, California and active in the NPI registry since August 2021. The organization lists Kevin Mattson, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1124793732
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameCENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Location Address1840 WEST DRVista, CA 92083-6115
Mailing Address8080 Dagget StSan Diego, CA 92111-2333 · (619) 662-4100
Phone(619) 662-4100
Organization SubpartYes
Authorized OfficialKevin MattsonPresident/ceo · (619) 662-4100
Enumeration DateAugust 16, 2021
Last NPPES UpdateJanuary 27, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
✔ NPI 1124793732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationAgencies
Taxonomy Code251T00000X
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
1840 WEST DR, Vista, CA 92083
Open in Google Maps ↗

Other Names 1

Doing Business AsSan Diego Pace Vista

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHAMS ALAMILI MD
Family Medicine
1840 WEST DR
VISTA, CA 92083
San Diego County (619) 205-4585
DR. ALEXANDRA FISCHER JAIN PT, DPT
Physical Therapist
1840 WEST DR
VISTA, CA 92083
San Diego County (619) 205-4585
LATASHA K WILLIAMSON AGNP-C
Nurse Practitioner (Adult Health)
1840 WEST DR
VISTA, CA 92083
San Diego County (619) 205-4585
VIOLETA CHAVEZ-SERRANO
Occupational Therapist
1840 WEST DR
VISTA, CA 92083
San Diego County (619) 205-4585
KRISTIN BELL M.D.
Internal Medicine
1840 WEST DR
VISTA, CA 92083
San Diego County (858) 552-8585
TYLER GRIFFIN
Physical Therapist
1840 WEST DR
VISTA, CA 92083
San Diego County (619) 662-4100
CATHERINE EGUSA O.D.
Optometrist
1840 WEST DR, SUITE 107
VISTA, CA 92083
San Diego County (760) 643-2084
ELIZABETH TORRES
Occupational Therapy Assistant
1840 WEST DR
VISTA, CA 92083
San Diego County (619) 662-4100

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 1124793732. It was assigned to this organization in the NPPES registry on August 16, 2021. The provider is doing business as San Diego PACE Vista.

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 1840 West Dr, Vista, CA 92083. 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 Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

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 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.