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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

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: August 02, 2026.

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

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

Other Providers at the Same Location NPPES 19

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

NICOLE RENTERIA RN
Registered Nurse
3364 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
MARYLUPE FLORES LCSW
Social Worker (Clinical)
3364 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 205-4585
EKATERINA CHAUSSE CASTRO NP
Nurse Practitioner (Family)
3364 BEYER BLVD
SAN DIEGO, CA 92173
San Diego County (619) 205-4585
BALWINDER K SHUKLA
Nurse Practitioner (Family)
3364 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 205-4585
CONNIE FU MA
Pharmacist
3364 BEYER BLVD
SAN DIEGO, CA 92173
San Diego County (619) 205-4585
WILBUR ADRIAN DIENTE BARSANA
Physical Therapy Assistant
3364 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 205-4585
SAN DIEGO PACE, LLC
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
3364 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
MRS. ZULEIKA ABADIANO HAW OTR
Occupational Therapist
3364 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 205-4585

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.

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 6 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.