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

Q: What is Centro De Salud De La Comunidad De San Ysidro, Inc.'s specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

Active since May 14, 2014

3364 BEYER BLVD, SUITE #102 & #103, SAN YSIDRO, CA 92173(619) 662-4100(619) 600-4867 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 27, 2026, Jan 16, 2026, Jun 5, 2023 and 3 more (6 updates tracked since 2018).

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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 1265843122), doing business as San Diego Pace San Ysidro, is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in San Ysidro, California and active in the NPI registry since May 2014. The organization lists Kevin Mattson, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1265843122

Entity TypeOrganization

Primary Taxonomy251T00000X

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

Location Address3364 BEYER BLVD, SUITE #102 & #103San Ysidro, CA 92173-1322

Mailing Address8080 Dagget StSan Diego, CA 92111-2333 · (619) 662-4100 · Fax (619) 428-7952

Phone(619) 662-4100

Fax(619) 600-4867

Organization SubpartYes

Authorized OfficialKevin MattsonPresident/ceo · (619) 662-4100

Enumeration DateMay 14, 2014

Last NPPES UpdateJanuary 27, 20266 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2026

✔ NPI 1265843122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationAgencies

Taxonomy Code251T00000X

Definition

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.

3364 BEYER BLVD, San Ysidro, CA 92173

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Other Names 2

Doing Business AsSan Diego Pace San Ysidro

Doing Business AsSan Ysidro Health San Diego Pace/senior Health Services

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Centro De Salud De La Comunidad De San Ysidro, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

576

Medicare enrollment records show 576 clinicians reassign Medicare billing to Centro De Salud De La Comunidad De San Ysidro, Inc., which bills Medicare for the services they deliver. Of these, 8 practice at this address and 236 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 36

Family Practice151

Internal Medicine80

Nurse Practitioner62

Dentist35

Clinical Social Worker32

Emergency Medicine31

Pediatric Medicine27

Psychiatry26

28 other specialties132

Nearest to this location (20)

See all 576

Ryan Pascua

Internal Medicine

NPI 1972064269

3364 BEYER BLVD
San Ysidro, CA 92173

(619) 205-4585

✔ PECOSSame address

Aurelia Allen, NURSE PRACTITIONER

Nurse Practitioner

NPI 1437130937

3364 BEYER BLVD
San Ysidro, CA 92173

(619) 205-4585

✔ PECOSSame address

Ekaterina Chausse Castro, NP

Nurse Practitioner

NPI 1154040418

3364 BEYER BLVD
San Diego, CA 92173

(619) 205-4585

✔ PECOSSame address

Skylar Clark, DPT

Physical Therapist in Private Practice

NPI 1457089187

3364 BEYER BLVD
San Ysidro, CA 92173

(619) 205-4585

✔ Accepts MedicareSame address

Chitra Fernando, M.D.

Geriatric Medicine

NPI 1659598688

3364 BEYER BLVD
San Ysidro, CA 92173

(619) 662-4100

✔ PECOSSame address

Lo Fu Tan, MD

Family Practice

NPI 1356314835

3364 BEYER BLVD STE 102
San Ysidro, CA 92173

(702) 617-1227

✔ PECOSSame address

Wayne Wong

Physical Therapist in Private Practice

NPI 1619868148

3364 BEYER BLVD
San Ysidro, CA 92173

(619) 205-4585

Same address

Gilberto Zayas, M.D

Psychiatry

NPI 1508174970

3364 BEYER BLVD
San Diego, CA 92173

(619) 662-4100

✔ PECOSSame address

Iraida Alvarez

Marriage and Family Therapist

NPI 1174683189

1666 PRECISION PARK LN
San Diego, CA 92173

(619) 662-4100

✔ PECOSSame address

Margarita Castellanos Palazuelos

Clinical Social Worker

NPI 1104379791

1666 PRECISION PARK LN
San Ysidro, CA 92173

(619) 428-5533

✔ PECOSSame address

Jenni Garcia

Mental Health Counselor

NPI 1437775863

1666 PRECISION PARK LN
San Diego, CA 92173

(619) 428-5533

✔ PECOS✔ Accepts MedicareSame address

Rito Lopez, NURSE PRACTITIONER

Nurse Practitioner

NPI 1124667779

1666 PRECISION PARK LN
San Ysidro, CA 92173

(619) 662-4100

✔ PECOS✔ Accepts MedicareSame address

Michelle Lough

Family Practice

NPI 1053816496

1666 PRECISION PARK LN
San Ysidro, CA 92173

(619) 662-4100

✔ PECOS✔ Accepts MedicareSame address

Stephanie Alexander

Nurse Practitioner

NPI 1942031752

1666 PRECISION PARK LN
San Ysidro, CA 92173

(619) 662-4100

✔ PECOS✔ Accepts MedicareSame address

Amanda Breedlove, LMFT

Marriage and Family Therapist

NPI 1316487119

1666 PRECISION PARK LN
San Diego, CA 92173

(619) 662-4100

✔ PECOS✔ Accepts MedicareSame address

Graciela Castellanos, MA IN MFT

Marriage and Family Therapist

NPI 1033484530

1666 PRECISION PARK LN
San Ysidro, CA 92173

(619) 662-4100

✔ PECOSSame address

Justine Ann Miranda, M.A.

Marriage and Family Therapist

NPI 1285040709

1666 PRECISION PARK LN
San Diego, CA 92173

(619) 662-4100

✔ PECOSSame address

Kimberly Patterson Hyatt

Psychiatry

NPI 1780997742

1666 PRECISION PARK LN
San Diego, CA 92173

(619) 662-4100

✔ PECOS✔ Accepts MedicareSame address

Lesley Lara, MD

Family Practice

NPI 1184112682

1601 PRECISION PARK LN
San Diego, CA 92173

(619) 662-4100

✔ PECOS✔ Accepts Medicare0.1 mi

Monica Mcmillan, M.D.

Emergency Medicine

NPI 1730117979

1601 PRECISION PARK LN
San Diego, CA 92173

(619) 662-4100

✔ PECOS✔ Accepts Medicare0.1 mi

See all 576 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1265843122. It was assigned to this organization in the NPPES registry on May 14, 2014. The provider is doing business as San Diego PACE San Ysidro and San Ysidro Health San Diego PACE/Senior Health Services.

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 3364 Beyer Blvd Suite #102 & #103, 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 Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

Is Centro De Salud De La Comunidad De San Ysidro, Inc. enrolled in Medicare?

Yes. Centro De Salud De La Comunidad De San Ysidro, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Centro De Salud De La Comunidad De San Ysidro, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 576 clinicians in 36 Medicare specialties reassign their Medicare billing to Centro De Salud De La Comunidad De San Ysidro, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (151), Internal Medicine (80) and Nurse Practitioner (62). Of these, 8 practice at this address and 236 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.