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SAN YSIDRO HEALTH CHILDREN'S DENTAL CENTER AT RADY CHILDREN'S HOSPITAL
NPI 1477730737
Clinic/Center - Dental in San Diego, CA

Active since January 29, 2008
8110 BIRMINGHAM WAY, SAN DIEGO, CA 92123(619) 662-4100(619) 205-6373 Get Directions Write a Review

NPPES record last updated: November 6, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 6, 2018, Aug 16, 2018, Nov 15, 2017 (3 updates tracked since 2017).

About San Ysidro Health Children's Dental Center At Rady Children's Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN YSIDRO HEALTH CHILDREN'S DENTAL CENTER AT RADY CHILDREN'S HOSPITAL (NPI 1477730737) is a healthcare organization registered as a dental in San Diego, California and active in the NPI registry since January 2008. The organization lists Kevin Mattson, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1477730737
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Location Address8110 BIRMINGHAM WAYSan Diego, CA 92123
Mailing Address1601 Precision Park LnSan Diego, CA 92173-1345 · (619) 662-4100 · Fax (619) 428-7952
Phone(619) 662-4100
Fax(619) 205-6373
Organization SubpartNo
Authorized OfficialKevin MattsonPresident And Ceo · (619) 662-4100
Enumeration DateJanuary 29, 2008
Last NPPES UpdateNovember 6, 20183 updates tracked since enumeration
✔ NPI 1477730737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in CA · 550000692
8110 BIRMINGHAM WAY, San Diego, CA 92123
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Other Names 1

Doing Business AsSan Ysidro Health Children's Dental Center At Rady Children's Hospital

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SARA OJEDA LOPEZ CPNP
Nurse Practitioner (Pediatrics)
8110 BIRMINGHAM WAY, BLDG 28
SAN DIEGO, CA 92123
San Diego County (858) 966-5961
ROBERT MILLER SHEETS M.D.
Pediatrics (Pediatric Rheumatology)
8110 BIRMINGHAM WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-8082
JEANNIE SHIH HUANG M.D.
Pediatrics (Pediatric Gastroenterology)
8110 BIRMINGHAM WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-4003
JOEL EDWARD LAVINE M.D., PH.D.
Pediatrics (Pediatric Gastroenterology)
8110 BIRMINGHAM WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-4003
MICHAEL EVERETT GOTTSCHALK M.D., PH.D.
Pediatrics (Pediatric Endocrinology)
8110 BIRMINGHAM WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-4032
MAJA MARINKOVIC M.D.
Pediatrics (Pediatric Endocrinology)
8110 BIRMINGHAM WAY, BUILDING 28
SAN DIEGO, CA 92123
San Diego County (858) 966-4032
MEERANA LIM M.D.
Pediatrics (Pediatric Pulmonology)
8110 BIRMINGHAM WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-5846
DANA PATTON-KU M.D.
Pediatrics (Pediatric Gastroenterology)
8110 BIRMINGHAM WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-4003

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 1477730737. It was assigned to this organization in the NPPES registry on January 29, 2008. The provider is doing business as San Ysidro Health Children's Dental Center At Rady Children's Hospital.

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 8110 Birmingham Way, San Diego, CA 92123. 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 Dental, with taxonomy code 261QD0000X.

What insurance does Centro De Salud De La Comunidad De San Ysidro, Inc. accept?

Health plans from UnitedHealthcare list Centro De Salud De La Comunidad De San Ysidro, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 November 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.