Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
NPI 1124939665
Clinic/Center - Federally Qualified Health Center (FQHC) in Chula Vista, CA

Active since September 14, 2026
480 4TH AVE STE 102&401, CHULA VISTA, CA 91910(619) 662-4100 Get Directions Write a Review

NPPES record added: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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 1124939665), doing business as San Ysidro Health Downtown Chula Vista, is a healthcare organization registered as a federally qualified health center (fqhc) in Chula Vista, California and active in the NPI registry since September 2026. The organization lists William Brian Wallace, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1124939665
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Location Address480 4TH AVE STE 102&401Chula Vista, CA 91910-4410
Mailing Address1601 Precision Park LnSan Diego, CA 92173-1345
Organization SubpartNo
Authorized OfficialWilliam Brian WallaceVp/cfo · (619) 662-4100
Enumeration DateSeptember 14, 2026
NPPES CertifiedSeptember 14, 2026
✔ NPI 1124939665 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
480 4TH AVE STE 102&401, Chula Vista, CA 91910

Other Names 1

Doing Business AsSan Ysidro Health Downtown Chula Vista

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 1124939665. It was assigned to this organization in the NPPES registry on September 14, 2026. The provider is doing business as San Ysidro Health Downtown Chula 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 480 4th Ave Ste 102&401, Chula Vista, CA 91910. 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.

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 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.