CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC. NPI 1174164719
Clinic/Center - Federally Qualified Health Center (FQHC) in Campo, CA

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

Centro De Salud De La Comunidad De San Ysidro, Inc. is a primary care provider established in Campo, California operating as a Clinic/center with a focus in federally qualified health center (fqhc) . The NPI number of Centro De Salud De La Comunidad De San Ysidro, Inc. is 1174164719 and was assigned on October 2019. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as San Ysidro Health Mountain Health Family Medicine. The authorized official of this NPI record is Kevin Mattson (President/ceo)

NPI
1174164719
Provider NameCENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Location Address1388 BUCKMAN SPRINGS RD CAMPO, CA 91906
Location Phone(619) 662-4100
Mailing Address1601 PRECISION PARK LN SAN DIEGO, CA 92173
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameSAN YSIDRO HEALTH MOUNTAIN HEALTH FAMILY MEDICINE
Other Name TypeDoing Business As (3)
Enumeration Date10-04-2019
Last Update Date11-06-2019

A primary care provider (PCP) like Centro De Salud De La Comunidad De San Ysidro, Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

The CLIA number of Centro De Salud De La Comunidad De San Ysidro, Inc. is 05D0568712 registered as a "federally qualified health center" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued to Centro De Salud De La Comunidad De San Ysidro, Inc. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code261QF0400X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationFederally Qualified Health Center (FQHC)

Business Address

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
1388 BUCKMAN SPRINGS RD
CAMPO, CA
ZIP 91906
Phone: (619) 662-4100

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Mailing Address

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
1601 PRECISION PARK LN
SAN DIEGO, CA
ZIP 92173
Phone: (619) 662-4100


Location Map

Authorized Official

The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official Name KEVIN MATTSON
Authorized Official TitlePRESIDENT/CEO
Authorized Official Phone(619) 662-4100

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1174164719 is:

CLIA Number05D0568712
Facility TypeFEDERALLY QUALIFIED HEALTH CENTER
Certificate TypeCertificate for Provider-Performed Microscopy Procedures (PPMP)

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174164719
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2114426872
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 2 + 6 + 8 + 7 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1174164719 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1982658142MOUNTAIN HEALTH & COMMUNITY SERVICES, INC.
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))1388 BUCKMAN SPRINGS RD
CAMPO, CA 91906
(619) 478-5254
1639606130DR. MATTHEW W ROGERS DO
Individual
Family Medicine1388 BUCKMAN SPRINGS RD
CAMPO, CA 91906
(619) 445-6200
1841516325VISTA HILL FOUNDATION
Organization
Community/Behavioral Health1388 BUCKMAN SPRINGS RD
CAMPO, CA 91906
(760) 788-9725
1720426901 AMANDA LYNN JAINCHILL M.D.
Individual
Family Medicine1388 BUCKMAN SPRINGS RD
CAMPO, CA 91906
(619) 662-4100

Frequently Asked Questions

What is CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC. NPI number?

The NPI number assigned to CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC. is 1174164719, registered as an "organization" on October 04, 2019

Where is CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC. located?

The provider is located at 1388 Buckman Springs Rd Campo, Ca 91906 and the phone number is (619) 662-4100

What kind of medical provider is CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.?

This medical organization specializes in Clinic/Center with a focus in Federally Qualified Health Center (FQHC)

What is CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC. CLIA number?

The provider's CLIA number is 05D0568712 for a "federally qualified health center" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

How do I update my NPI information?

The NPI record of CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC. was last updated on October 04, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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