SAN YSIDRO HEALTH PARADISE HILLS - NPI 1598907487 - Clinic/Center in National City, 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.

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About San Ysidro Health Paradise Hills NPPES

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

SAN YSIDRO HEALTH PARADISE HILLS (NPI 1598907487) is a healthcare organization registered as a federally qualified health center (fqhc) in National City, California and active in the NPI registry since March 2009. The organization lists Kevin Mattson, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1598907487

Entity TypeOrganization

Primary Taxonomy261QF0400X

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

Location Address2400 E 8TH ST, SUITE # ANational City, CA 91950-2956

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 DateMarch 24, 2009

Last NPPES UpdateNovember 7, 20182 updates tracked since enumeration

✔ NPI 1598907487 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

License✔ Licensed in CA · 550001126

2400 E 8TH ST, National City, CA 91950

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Other Names 1

Doing Business AsSan Ysidro Health Paradise Hills

Other Providers at the Same Location NPPES 11

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

MIANDA CHEREE CARR MD

Obstetrics & Gynecology