SAN YSIDRO HEALTH SENIOR DENTAL CENTER
NPI 1457033813
Clinic/Center - Federally Qualified Health Center (FQHC) in San Diego, CA
About San Ysidro Health Senior Dental Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAN YSIDRO HEALTH SENIOR DENTAL CENTER (NPI 1457033813) is a healthcare organization registered as a federally qualified health center (fqhc) in San Diego, California and active in the NPI registry since August 2023. The organization lists Kevin Mattson, President/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
San Ysidro Health Senior Dental Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
576Medicare enrollment records show 576 clinicians reassign Medicare billing to San Ysidro Health Senior Dental Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 248 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 36
Nearest to this location (20)
See all 576Source: 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 1457033813. It was assigned to this organization in the NPPES registry on August 4, 2023. The provider is doing business as San Ysidro Health Senior Dental Center.
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 1525 Fourth Ave, 2nd Floor, San Diego, CA 92101. 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.
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, 1 practice at this address and 248 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 October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 Senior Dental Center · NPI 1457033813
Federally Qualified Health Center (FQHC) organization in San Diego, California. Organization record, active in the CMS NPPES registry since August 4, 2023.
## Identity
- **NPI:** 1457033813 (Entity type: Organization)
- **Enumerated:** August 4, 2023
- **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:** Kevin Mattson, PRESIDENT/CEO
## Practice location
- **Address:** 1525 FOURTH AVE, 2ND FLOOR, San Diego, CA 92101-3107
- **Phone:** (619) 662-4100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 576 clinicians in 36 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (151), Internal Medicine (80), Nurse Practitioner (62); 1 practice at this address and 248 within 10 miles; [full list](https://npiprofile.com/npi/1457033813/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1457033813) · Data from the CMS NPPES public registry.