CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
NPI 1235804139
Clinic/Center - Federally Qualified Health Center (FQHC) in Julian, 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 August 12, 2021

2717 A. ST, JULIAN, CA 92036(619) 662-4100 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 22, 2026, Aug 12, 2021 (2 updates tracked since 2021).

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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 1235804139), doing business as San Ysidro Health Julian Family Medicine, is a healthcare organization registered as a federally qualified health center (fqhc) in Julian, California and active in the NPI registry since August 2021. The organization lists William Brian Wallace, Cfo, as its authorized official.

NPPES Registry Identity

NPI1235804139

Entity TypeOrganization

Primary Taxonomy261QF0400X

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

Location Address2717 A. STJulian, CA 92036-9233

Mailing Address1601 Precision Park LnSan Diego, CA 92173-1345 · (619) 662-4100

Phone(619) 662-4100

Organization SubpartNo

Authorized OfficialWilliam Brian WallaceCfo · (619) 205-6339

Enumeration DateAugust 12, 2021

Last NPPES UpdateApril 22, 20262 updates tracked since enumeration

NPPES CertifiedApril 22, 2026

✔ NPI 1235804139 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

2717 A. ST, Julian, CA 92036

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Other Names 1

Doing Business AsSan Ysidro Health Julian Family Medicine

Other Providers at the Same Location NPPES

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

ANGELINE BAUCOM LPCC

Counselor (Professional)

2717 A. ST
JULIAN, CA 92036

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 1235804139. It was assigned to this organization in the NPPES registry on August 12, 2021. The provider is doing business as San Ysidro Health Julian 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 2717 A. St, Julian, CA 92036. 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 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.