CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
NPI 1730893777
Clinic/Center - Federally Qualified Health Center (FQHC) in Julian, 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 January 12, 2023

2602 WASHINGTON STREET, JULIAN, CA 92036(619) 662-4100 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 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 1730893777), doing business as San Ysidro Health Julian Family Dental, is a healthcare organization registered as a federally qualified health center (fqhc) in Julian, California and active in the NPI registry since January 2023. The organization lists Kevin Mattson, President/cfo, as its authorized official.

NPPES Registry Identity

NPI1730893777

Entity TypeOrganization

Primary Taxonomy261QF0400X

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

Location Address2602 WASHINGTON STREETJulian, CA 92036

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

Phone(619) 662-4100

Organization SubpartNo

Authorized OfficialKevin MattsonPresident/cfo · (619) 662-4100

Enumeration DateJanuary 12, 2023

NPPES CertifiedJanuary 10, 2023

✔ NPI 1730893777 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

2602 WASHINGTON STREET, Julian, CA 92036

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Other Names 1

Doing Business AsSan Ysidro Health Julian Family Dental

Other Providers at the Same Location NPPES

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

DR. ROBERT IAN GOLDENBERG DDS

Dentist

2602 WASHINGTON STREET
JULIAN, CA 92036

San Diego County (760) 765-1675

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 1730893777. It was assigned to this organization in the NPPES registry on January 12, 2023. The provider is doing business as San Ysidro Health Julian Family Dental.

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 2602 Washington Street, Julian, CA 92036. 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 January 12, 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.