CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO,INC.
NPI 1205417946
Clinic/Center - Federally Qualified Health Center (FQHC) in Chula Vista, CA

Active since April 15, 2021
391 OXFORD ST, CHULA VISTA, CA 91911(619) 662-4100 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 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 1205417946), doing business as San Ysidro Health Marc South Bay, is a healthcare organization registered as a federally qualified health center (fqhc) in Chula Vista, California and active in the NPI registry since April 2021. The organization lists William Brian Wallace, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1205417946
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO,INC.
Location Address391 OXFORD STChula Vista, CA 91911-3114
Mailing Address1601 Precision Park LnSan Diego, CA 92173-1345 · (619) 662-4100
Organization SubpartNo
Authorized OfficialWilliam Brian WallaceVp/cfo · (619) 205-6339
Enumeration DateApril 15, 2021
NPPES CertifiedMarch 23, 2021
NPI 1205417946 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
391 OXFORD ST, Chula Vista, CA 91911

Other Names 1

Doing Business AsSan Ysidro Health Marc South Bay

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 1205417946. It was assigned to this organization in the NPPES registry on April 15, 2021. The provider is doing business as San Ysidro Health MARC South Bay.

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 391 Oxford St, Chula Vista, CA 91911. 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 April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.