SAN YSIDRO HEALTH URGENT CARE
NPI 1366053167
Clinic/Center - Federally Qualified Health Center (FQHC) in Chula Vista, CA
About San Ysidro Health Urgent Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAN YSIDRO HEALTH URGENT CARE (NPI 1366053167) is a healthcare organization registered as a federally qualified health center (fqhc) in Chula Vista, California and active in the NPI registry since August 2020. The organization lists William Brian Wallace, Vp/cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 05D2219608
San Ysidro Health Urgent Care · Chula Vista, CAOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1366053167. It was assigned to this organization in the NPPES registry on August 14, 2020. The provider is doing business as San Ysidro Health Urgent Care.
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 333 H St Ste 2080, Chula Vista, CA 91910. 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 September 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# San Ysidro Health Urgent Care · NPI 1366053167
Federally Qualified Health Center (FQHC) organization in Chula Vista, California. Organization record, active in the CMS NPPES registry since August 14, 2020.
## Identity
- **NPI:** 1366053167 (Entity type: Organization)
- **Enumerated:** August 14, 2020
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Centro De Salud De La Comunidad De San Ysidro, Inc
- **Organization subpart:** No
- **Authorized official:** William Wallace, VP/CFO
## Practice location
- **Address:** 333 H ST STE 2080, Chula Vista, CA 91910-5558
- **Phone:** (619) 662-4100
## Record status
- **NPPES last updated:** September 23, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1366053167) · Data from the CMS NPPES public registry.