CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
NPI 1265843122
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in San Ysidro, CA

NPI Status: Active since May 14, 2014

Contact Information

3364 BEYER BLVD
SUITE #102 & #103
SAN YSIDRO, CA
ZIP 92173
Phone: (619) 662-4100
Fax: (619) 600-4867

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About CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.

This page provides the complete NPI Profile along with additional information for Centro De Salud De La Comunidad De San Ysidro, Inc., a provider established in San Ysidro, California operating as a Program Of All-inclusive Care For The Elderly (pace) Provider Organization. The healthcare provider is registered in the NPI registry with number 1265843122 assigned on May 2014. The practitioner's primary taxonomy code is 251T00000X. The provider is registered as an organization and their NPI record was last updated January 2026. The provider's . The authorized official of this NPI record is Kevin Mattson (President/ceo)

NPI
1265843122
Provider Legal Name
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
3364 BEYER BLVD SUITE #102 & #103 SAN YSIDRO, CA 92173
Location Phone
(619) 662-4100
Location Fax
(619) 600-4867
Mailing Address
8080 DAGGET ST SAN DIEGO, CA 92111
Mailing Phone
(619) 662-4100
Mailing Fax
(619) 600-4867
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-14-2014
Last Update Date
01-27-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

Taxonomy Code
251T00000X
Type
Agencies
Taxonomy Description
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KEVIN MATTSON

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(619) 662-4100

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1265843122, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
4
Unchanged
Pos 7
3
Doubled → 6
Pos 8
1
Unchanged
Pos 9
2
Doubled → 4
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 8 → 16 → 7 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 2 + 5 + 1 + 6 + 4 + 6 + 1 + 4 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1265843122.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
3364 BEYER BLVD
SAN YSIDRO, CA 92173
Registered Nurse
3364 BEYER BLVD
SAN YSIDRO, CA 92173
Psychiatry & Neurology (Psychiatry)
3364 BEYER BLVD
SAN DIEGO, CA 92173
Occupational Therapy Assistant
3364 BEYER BLVD
SAN YSIDRO, CA 92173
Physical Therapy Assistant
3364 BEYER BLVD
SAN YSIDRO, CA 92173
Nurse Practitioner (Family)
3364 BEYER BLVD
SAN DIEGO, CA 92173
Physical Therapist
3364 BEYER BLVD
SAN YSIDRO, CA 92173
Social Worker (Clinical)
3364 BEYER BLVD
SAN YSIDRO, CA 92173
Occupational Therapist
3364 BEYER BLVD
SAN YSIDRO, CA 92173
Pharmacist
3364 BEYER BLVD
SAN DIEGO, CA 92173
Nurse Practitioner (Psychiatric/Mental Health)
3364 BEYER BLVD
SAN YSIDRO, CA 92173
Occupational Therapy Assistant
3364 BEYER BLVD
SAN YSIDRO, CA 92173
Internal Medicine (Geriatric Medicine)
3364 BEYER BLVD
SAN YSIDRO, CA 92173
Occupational Therapist
3364 BEYER BLVD
SAN YSIDRO, CA 92173
Nurse Practitioner
3364 BEYER BLVD
SAN YSIDRO, CA 92173
Registered Nurse (Gerontology)
3364 BEYER BLVD
SAN YSIDRO, CA 92173
Physical Therapist
3364 BEYER BLVD
SAN YSIDRO, CA 92173
Pharmacist
3364 BEYER BLVD
SAN DIEGO, CA 92173
Internal Medicine
3364 BEYER BLVD
SAN YSIDRO, CA 92173

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265843122, enumerated as an "organization" on May 14, 2014.

The provider is located at 3364 BEYER BLVD SUITE #102 & #103 SAN YSIDRO, CA 92173 and the phone number is (619) 662-4100.

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.