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ST. VINCENT DE PAUL VILLAGE, INC
NPI 1659415131
Clinic/Center - Federally Qualified Health Center (FQHC) in San Diego, CA

Active since February 16, 2007CLIA 05D0941891 · Microscopy
16 15TH ST, SAN DIEGO, CA 92101(619) 233-8500(619) 645-6470 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 22, 2023, Oct 12, 2020 (2 updates tracked since 2020).

About St. Vincent De Paul Village, Inc NPPES

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

ST. VINCENT DE PAUL VILLAGE, INC (NPI 1659415131) is a healthcare organization registered as a federally qualified health center (fqhc) in San Diego, California and active in the NPI registry since February 2007. The organization holds a CLIA Microscopy certificate valid through March 2, 2028 and lists Brissa Chavez, Supervisor Of Clinic Administration, as its authorized official.

NPPES Registry Identity

NPI1659415131
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameST. VINCENT DE PAUL VILLAGE, INC
Location Address16 15TH STSan Diego, CA 92101-8005
Mailing Address3350 E StSan Diego, CA 92102-3332 · (619) 233-8500 · Fax (619) 645-6470
Phone(619) 233-8500
Fax(619) 645-6470
Organization SubpartNo
Authorized OfficialBrissa ChavezSupervisor Of Clinic Administration · (619) 233-8500
Enumeration DateFebruary 16, 2007
Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1659415131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X · License 09000297 (CA)
16 15TH ST, San Diego, CA 92101
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Other Names 1

Other NameSt. Vincent De Paul Village Family Health Center

Other Identifiers 1

MedicaidCMM70389FCA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St. Vincent De Paul Village, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to St. Vincent De Paul Village, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Melissa Bishop, MD
Family Practice
NPI 1578667077
728 E VALLEY PKWY
Escondido, CA 92025
(760) 737-6900
✔ PECOS✔ Accepts Medicare29 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0941891

St Vincent De Paul Village Family Health Center · San Diego, CA
Active · expires Mar 2, 2028
CLIA Number05D0941891
Laboratory TypeCommunity Clinic
Certificate Effective DateMarch 3, 2026
Certificate Expiration DateMarch 2, 2028
Laboratory DirectorJeffrey Norris
Laboratory Phone(619) 233-8500
Laboratory LocationSt Vincent De Paul Village Family Health Center1501 Imperial Avenue, San Diego, CA 92101
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 St. Vincent De Paul Village, Inc's NPI number?

The NPI number for St. Vincent De Paul Village, Inc is 1659415131. It was assigned to this organization in the NPPES registry on February 16, 2007. The provider is also known as St. Vincent de Paul Village Family Health Center.

Where is St. Vincent De Paul Village, Inc located?

St. Vincent De Paul Village, Inc is located at 16 15th St, San Diego, CA 92101. The listed phone number is (619) 233-8500.

What is St. Vincent De Paul Village, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is St. Vincent De Paul Village, Inc enrolled in Medicare?

Yes. St. Vincent De Paul Village, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St. Vincent De Paul Village, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to St. Vincent De Paul Village, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does St. Vincent De Paul Village, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0941891) is associated with this NPI, valid through March 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St. Vincent De Paul Village, Inc was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.