CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC
NPI 1568182046
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 September 02, 2022

3045 BEYER BLVD STE D-101, SAN DIEGO, CA 92154(619) 662-4100(619) 428-7652 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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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 1568182046), doing business as San Ysidro Health Casa, is a healthcare organization registered as a federally qualified health center (fqhc) in San Diego, California and active in the NPI registry since September 2022. The organization lists William Brian Wallace, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1568182046

Entity TypeOrganization

Primary Taxonomy261QF0400X

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

Location Address3045 BEYER BLVD STE D-101San Diego, CA 92154-3407

Mailing Address1601 Precision Park LnSan Diego, CA 92173-1345 · (619) 662-4100 · Fax (619) 428-7952

Phone(619) 662-4100

Fax(619) 428-7652

Organization SubpartNo

Authorized OfficialWilliam Brian WallaceVp/cfo · (619) 205-6339

Enumeration DateSeptember 2, 2022

NPPES CertifiedSeptember 2, 2022

✔ NPI 1568182046 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

3045 BEYER BLVD STE D-101, San Diego, CA 92154

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Other Names 1

Doing Business AsSan Ysidro Health Casa

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 1568182046. It was assigned to this organization in the NPPES registry on September 2, 2022. The provider is doing business as San Ysidro Health CASA.

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 3045 Beyer Blvd Ste D-101, San Diego, CA 92154. 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 September 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.