CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO,INC.
NPI 1447836267
Clinic/Center - Federally Qualified Health Center (FQHC) in Chula Vista, CA

Active since March 22, 2021
670 L ST STE G, CHULA VISTA, CA 91911(619) 662-4100 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 1447836267), doing business as San Ysidro Health Sports Medicine, is a healthcare organization registered as a federally qualified health center (fqhc) in Chula Vista, California and active in the NPI registry since March 2021. The organization lists William Brian Wallace, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1447836267
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO,INC.
Location Address670 L ST STE GChula Vista, CA 91911-1065
Mailing Address1601 Precision Park LnSan Diego, CA 92173-1345 · (619) 662-4100
Organization SubpartNo
Authorized OfficialWilliam Brian WallaceVp/cfo · (619) 205-6339
Enumeration DateMarch 22, 2021
NPPES CertifiedMarch 22, 2021
NPI 1447836267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
670 L ST STE G, Chula Vista, CA 91911

Other Names 1

Doing Business AsSan Ysidro Health Sports Medicine

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 1447836267. It was assigned to this organization in the NPPES registry on March 22, 2021. The provider is doing business as San Ysidro Health Sports Medicine.

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 670 L St Ste G, 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 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 March 22, 2021. 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.