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SAN YSIDRO HEALTH MOUNTAIN HEALTH FAMILY MEDICINE
NPI 1174164719
Clinic/Center - Federally Qualified Health Center (FQHC) in Campo, CA

Active since October 04, 2019
1388 BUCKMAN SPRINGS RD, CAMPO, CA 91906(619) 662-4100 Get Directions Write a Review

NPPES record last updated: November 6, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 6, 2019, Oct 4, 2019 (2 updates tracked since 2019).

About San Ysidro Health Mountain Health Family Medicine NPPES

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

SAN YSIDRO HEALTH MOUNTAIN HEALTH FAMILY MEDICINE (NPI 1174164719) is a healthcare organization registered as a federally qualified health center (fqhc) in Campo, California and active in the NPI registry since October 2019. The organization lists Kevin Mattson, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1174164719
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Location Address1388 BUCKMAN SPRINGS RDCampo, CA 91906-2028
Mailing Address1601 Precision Park LnSan Diego, CA 92173-1345 · (619) 662-4100
Phone(619) 662-4100
Organization SubpartNo
Authorized OfficialKevin MattsonPresident/ceo · (619) 662-4100
Enumeration DateOctober 4, 2019
Last NPPES UpdateNovember 6, 20192 updates tracked since enumeration
✔ NPI 1174164719 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
1388 BUCKMAN SPRINGS RD, Campo, CA 91906
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Other Names 1

Doing Business AsSan Ysidro Health Mountain Health Family Medicine

Other Providers at the Same Location NPPES 9

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

DR. BRANDON SCOTT BROWN M.D., PH.D.
Family Medicine
1388 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 662-4100
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC
Pharmacy (Community/Retail Pharmacy)
1388 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 662-4100
PETER MURRAY BAUM D.O.
Family Medicine
1388 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 662-4100
DR. SELINA THOMAS MD
Family Medicine
1388 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 662-4100
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1388 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 662-4100
DR. MATTHEW W ROGERS DO
Family Medicine
1388 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 445-6200
DR. LUZVIMINDA DULNUAN SAIDRO M.D.
Family Medicine
1388 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 662-4100
VISTA HILL FOUNDATION
Community/Behavioral Health
1388 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (760) 350-9275

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 1174164719. It was assigned to this organization in the NPPES registry on October 4, 2019. The provider is doing business as San Ysidro Health Mountain Health Family Medicine.

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 1388 Buckman Springs Rd, Campo, CA 91906. 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 November 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.