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

NPI Status: Active since July 12, 2019

Contact Information

880 3RD AVE # A
CHULA VISTA, CA
ZIP 91911
Phone: (619) 662-4100

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About CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.

This page provides the complete NPI Profile along with additional information for Centro De Salud De La Comunidad De San Ysidro, Inc., a provider established in Chula Vista, California operating as a Program Of All-inclusive Care For The Elderly (pace) Provider Organization. The healthcare provider is registered in the NPI registry with number 1376195040 assigned on July 2019. The practitioner's primary taxonomy code is 251T00000X. The provider is registered as an organization and their NPI record was last updated January 2026. The provider's . The authorized official of this NPI record is Kevin Mattson (President/ceo)

NPI
1376195040
Provider Legal Name
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
880 3RD AVE # A CHULA VISTA, CA 91911
Location Phone
(619) 662-4100
Mailing Address
8080 DAGGET ST SAN DIEGO, CA 92111
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-12-2019
Last Update Date
01-27-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

Taxonomy Code
251T00000X
Type
Agencies
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KEVIN MATTSON

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(619) 662-4100

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1376195040, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
4
Doubled → 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 1 → 2 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 4 + 6 + 2 + 9 + 1 + 0 + 0 + 8 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1376195040.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Speech-Language Pathologist
880 3RD AVE # A
CHULA VISTA, CA 91911
Family Medicine
880 3RD AVE # A
CHULA VISTA, CA 91911

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376195040, enumerated as an "organization" on July 12, 2019.

The provider is located at 880 3RD AVE # A CHULA VISTA, CA 91911 and the phone number is (619) 662-4100.

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.