CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
NPI 1174213904
Clinic/Center - Federally Qualified Health Center (FQHC) in San Ysidro, CA
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 1174213904), doing business as San Ysidro Health Mobile Health Services 1j, is a healthcare organization registered as a federally qualified health center (fqhc) in San Ysidro, California and active in the NPI registry since May 2023. The organization lists Kevin Mattson, President/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN YSIDRO, CA 92173
SAN YSIDRO, CA 92173
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 1174213904. It was assigned to this organization in the NPPES registry on May 15, 2023. The provider is doing business as San Ysidro Health Mobile Health Services 1J.
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 4004 Beyer Blvd, San Ysidro, 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.
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 May 15, 2023. 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.
# Centro De Salud De La Comunidad De San Ysidro, Inc. · NPI 1174213904
Federally Qualified Health Center (FQHC) organization in San Ysidro, California. Organization record, active in the CMS NPPES registry since May 15, 2023.
## Identity
- **NPI:** 1174213904 (Entity type: Organization)
- **Enumerated:** May 15, 2023
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** San Ysidro Health Mobile Health Services 1J (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kevin Mattson, PRESIDENT/CEO
## Practice location
- **Address:** 4004 BEYER BLVD, San Ysidro, CA 92173-2007
- **Phone:** (619) 662-4100
## Record status
- **NPPES last updated:** May 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1174213904) · Data from the CMS NPPES public registry.