SAN YSIDRO HEALTH SOUTH BAY PEDIATRICS
NPI 1184135873
Clinic/Center - Federally Qualified Health Center (FQHC) in Chula Vista, CA

Q: 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.

Active since October 20, 2017

280 E ST, CHULA VISTA, CA 91910(619) 662-4100 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2023, May 17, 2019, Oct 20, 2017 (3 updates tracked since 2017).

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About San Ysidro Health South Bay Pediatrics NPPES

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

SAN YSIDRO HEALTH SOUTH BAY PEDIATRICS (NPI 1184135873) is a healthcare organization registered as a federally qualified health center (fqhc) in Chula Vista, California and active in the NPI registry since October 2017. The organization lists Kevin Mattson, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1184135873

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameCENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC

Location Address280 E STChula Vista, CA 91910-2945

Mailing Address1601 Precision Park LnSan Diego, CA 92173-1345 · (619) 205-6349

Phone(619) 662-4100

Organization SubpartNo

Authorized OfficialKevin MattsonPresident & Ceo · (619) 662-4100

Enumeration DateOctober 20, 2017

Last NPPES UpdateMay 18, 20233 updates tracked since enumeration

NPPES CertifiedMay 18, 2023

✔ NPI 1184135873 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

280 E ST, Chula Vista, CA 91910

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Other Names 1

Doing Business AsSan Ysidro Health South Bay Pediatrics

Other Providers at the Same Location NPPES

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

ESTAFANI RIVAS MD

Pediatrics

280 E ST
CHULA VISTA, CA 91910

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 1184135873. It was assigned to this organization in the NPPES registry on October 20, 2017. The provider is doing business as San Ysidro Health South Bay Pediatrics.

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 280 E St, 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 May 18, 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.