SAN YSIDRO HEALTH SENIOR DENTAL CENTER
NPI 1457033813
Clinic/Center - Federally Qualified Health Center (FQHC) in San Diego, CA

Q: 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.

Active since August 04, 2023

1525 FOURTH AVE, 2ND FLOOR, SAN DIEGO, CA 92101(619) 662-4100 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1457033813

Entity TypeOrganization

Primary Taxonomy261QF0400X

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

Location Address1525 FOURTH AVE, 2ND FLOORSan Diego, CA 92101-3107

Mailing Address1601 Precision Park LnSan Diego, CA 92173-1345 · (619) 662-4100

Phone(619) 662-4100

Organization SubpartNo

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

Enumeration DateAugust 4, 2023

Last NPPES UpdateOctober 6, 2023

NPPES CertifiedOctober 6, 2023

✔ NPI 1457033813 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

1525 FOURTH AVE, 2ND FLOOR, San Diego, CA 92101

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Other Names 1

Doing Business AsSan Ysidro Health Senior Dental Center

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.

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 2 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.