SAN YSIDRO HEALTH SAN DIEGO PACE/SENIOR HEALTH SERVICES
NPI 1538558978
Clinic/Center - Federally Qualified Health Center (FQHC) in San Ysidro, CA

Active since January 22, 2015
3364 BEYER BLVD STE 102-103, SAN YSIDRO, CA 92173(619) 205-4585 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 22, 2023, Feb 8, 2023, Feb 1, 2023 (3 updates tracked since 2023).

About San Ysidro Health San Diego Pace/senior Health Services NPPES

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

SAN YSIDRO HEALTH SAN DIEGO PACE/SENIOR HEALTH SERVICES (NPI 1538558978) is a healthcare organization registered as a federally qualified health center (fqhc) in San Ysidro, California and active in the NPI registry since January 2015. The organization lists Kevin Mattson, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1538558978
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Location Address3364 BEYER BLVD STE 102-103San Ysidro, CA 92173-1322
Mailing Address1601 Precision Park LnSan Diego, CA 92173-1345 · (619) 662-4100
Organization SubpartNo
Authorized OfficialKevin MattsonPresident & Ceo · (619) 662-4100
Enumeration DateJanuary 22, 2015
Last NPPES UpdateFebruary 22, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2023
✔ NPI 1538558978 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
3364 BEYER BLVD STE 102-103, San Ysidro, CA 92173

Other Names 1

Doing Business AsSan Ysidro Health San Diego Pace/senior Health Services

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 1538558978. It was assigned to this organization in the NPPES registry on January 22, 2015. The provider is doing business as San Ysidro Health San Diego Pace/Senior Health Services.

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 3364 Beyer Blvd Ste 102-103, San Ysidro, CA 92173. The listed phone number is (619) 205-4585.

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 February 22, 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.