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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

SAN DIEGO PACE, LLC
NPI 1326969817
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in San Ysidro, CA

Active since July 22, 2026
3364 BEYER BLVD, SAN YSIDRO, CA 92173(619) 662-4100 Get Directions Write a Review

NPPES record added: July 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About San Diego Pace, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN DIEGO PACE, LLC (NPI 1326969817), 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 July 2026. The organization lists Kevin Mattson, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1326969817
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameSAN DIEGO PACE, LLC
Location Address3364 BEYER BLVDSan Ysidro, CA 92173-1322
Mailing Address8080 Dagget StSan Diego, CA 92111-2333 · (619) 662-4100
Phone(619) 662-4100
Organization SubpartYesParent: Centro De Salud De La Comunidad De San Ysidro, Inc.
Authorized OfficialKevin MattsonPresident And Ceo · (619) 662-4100
Enumeration DateJuly 22, 2026
NPPES CertifiedJuly 22, 2026
✔ NPI 1326969817 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 1

Doing Business AsSan Diego Pace San Ysidro

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.

BALWINDER K SHUKLA
Nurse Practitioner (Family)
3364 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 205-4585
NICOLE RENTERIA RN
Registered Nurse
3364 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
DR. GILBERTO E ZAYAS M.D
Psychiatry & Neurology (Psychiatry)
3364 BEYER BLVD
SAN DIEGO, CA 92173
San Diego County (619) 662-4100
MEL DANDAN OTA
Occupational Therapy Assistant
3364 BEYER BLVD
SAN YSIDRO, 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
EKATERINA CHAUSSE CASTRO NP
Nurse Practitioner (Family)
3364 BEYER BLVD
SAN DIEGO, CA 92173
San Diego County (619) 205-4585
SKYLAR CLARK DPT
Physical Therapist
3364 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 205-4585
MARYLUPE FLORES LCSW
Social Worker (Clinical)
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 San Diego Pace, LLC's NPI number?

The NPI number for San Diego Pace, LLC is 1326969817. It was assigned to this organization in the NPPES registry on July 22, 2026. The provider is doing business as San Diego PACE San Ysidro.

Where is San Diego Pace, LLC located?

San Diego Pace, LLC is located at 3364 Beyer Blvd, San Ysidro, CA 92173. The listed phone number is (619) 662-4100.

What is San Diego Pace, LLC'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 San Diego Pace, LLC was last updated on July 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.