CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
NPI 1376195040
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Chula Vista, 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 July 12, 2019

880 3RD AVE # A, CHULA VISTA, CA 91911(619) 662-4100 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 9, 2023 and 6 more (9 updates tracked since 2019).

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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 1376195040), doing business as San Diego Pace Chula Vista, is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Chula Vista, California and active in the NPI registry since July 2019. The organization lists Kevin Mattson, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1376195040

Entity TypeOrganization

Primary Taxonomy251T00000X

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

Location Address880 3RD AVE # AChula Vista, CA 91911-1305

Mailing Address8080 Dagget StSan Diego, CA 92111-2333

Phone(619) 662-4100

Organization SubpartYes

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

Enumeration DateJuly 12, 2019

Last NPPES UpdateJanuary 27, 20269 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2026

✔ NPI 1376195040 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.

880 3RD AVE # A, Chula Vista, CA 91911

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Other Names 2

Doing Business AsSan Diego Pace Chula Vista

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

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 284 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

Mayra Bugarin, MD

Family Practice

NPI 1790313922

880 3RD AVE # A
Chula Vista, CA 91911

(619) 205-4585

✔ PECOSSame address

Charlene Rae Cardenas, DPT

Physical Therapist in Private Practice

NPI 1134005713

880 THIRD AVE
Chula Vista, CA 91911

(619) 205-4585

✔ Accepts MedicareSame address

Christina Lumpkin, AGNP

Nurse Practitioner

NPI 1578957122

880 3RD AVE
Chula Vista, CA 91911

(619) 205-4585

✔ PECOSSame address

Maria Mercado, M.D.

Internal Medicine

NPI 1851335723

880 3RD AVE
Chula Vista, CA 91911

(619) 205-4585

✔ PECOS✔ Accepts MedicareSame address

Laura Budde, DNP, APRN, A-GNP-C

Nurse Practitioner

NPI 1932734597

880 3RD AVE STE A
Chula Vista, CA 91911

(619) 205-4585

✔ PECOS✔ Accepts MedicareSame address

Daniel Hiles, MD

Internal Medicine

NPI 1942648621

880 THIRD AVE
Chula Vista, CA 91911

(808) 989-4398

✔ PECOSSame address

Jiun Kim, M.D.

Internal Medicine

NPI 1598020752

880 3RD AVE STE A
Chula Vista, CA 91911

(619) 205-4585

✔ PECOSSame address

Hebert Rosenbaum, MD

Family Practice

NPI 1922532712

880 3RD AVE
Chula Vista, CA 91911

(619) 205-4585

✔ PECOS✔ Accepts MedicareSame address

Myrna Coronado, MD

Family Practice

NPI 1710147566

865 3RD AVE SUITE 133
Chula Vista, CA 91911

(619) 428-1330

✔ PECOS✔ Accepts Medicare0.1 mi

Simin Ghahremani, M.D.

Pediatric Medicine

NPI 1508904657

855 3RD AVE STE 2200
Chula Vista, CA 91911

(619) 426-0100

✔ PECOS0.1 mi

Miriam Guillen-Ibarra

Marriage and Family Therapist

NPI 1164691424

835 3RD AVE STE C
Chula Vista, CA 91911

(619) 427-4667

✔ PECOS0.1 mi

Roula El-Moghrabi, OD

Optometry

NPI 1326491770

835 3RD AVE STE A
Chula Vista, CA 91911

(619) 425-7755

✔ PECOS0.1 mi

Georgios Papastergiou, MD, PHD

Ophthalmology

NPI 1790054393

835 3RD AVE SUITE A
Chula Vista, CA 91911

(619) 425-7755

✔ PECOS✔ Accepts Medicare0.1 mi

Maria Fuentes, M.D.

Internal Medicine

NPI 1811070261

717 3RD AVE
Chula Vista, CA 91910

(619) 941-1545

✔ PECOS0.4 mi

Patricia Celaya, PH.D.

Clinical Psychologist

NPI 1952656902

678 3RD AVE
Chula Vista, CA 91910

(619) 662-4100

✔ PECOS0.5 mi

Louis Fontana, M.D.

Psychiatry

NPI 1780734343

678 THIRD AVE
Chula Vista, CA 91910

(909) 838-3836

✔ PECOS✔ Accepts Medicare0.5 mi

America Juarez, LCSW

Clinical Social Worker

NPI 1386281541

678 3RD AVE
Chula Vista, CA 91910

(619) 662-4100

✔ PECOS0.5 mi

Laura Lynn, PT, DPT

Physical Therapist in Private Practice

NPI 1225086481

678 3RD AVE
Chula Vista, CA 91910

(619) 662-4100

✔ Accepts Medicare0.5 mi

Ava Arshadi, DDS

Dentist

NPI 1003310251

678 3RD AVE
Chula Vista, CA 91910

(619) 662-4100

✔ PECOS0.5 mi

Clayton Fuller, D.D.S.

Oral Surgery

NPI 1891821765

589 3RD AVE
Chula Vista, CA 91910

(619) 422-3223

✔ PECOS0.7 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 1376195040. It was assigned to this organization in the NPPES registry on July 12, 2019. The provider is doing business as San Diego PACE Chula Vista and San Ysidro Health San Diego PACE/Senior Health Services Chula Vista.

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 880 3rd Ave # A, Chula Vista, CA 91911. 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 284 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.