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CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC
NPI 1770117814
Clinic/Center - Federally Qualified Health Center (FQHC) in Pine Valley, CA

Active since February 27, 2020
3291 BUCKMAN SPRINGS RD, PINE VALLEY, CA 91962(619) 662-4100 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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 1770117814), doing business as San Ysidro Mountain Empire School Clinic, is a healthcare organization registered as a federally qualified health center (fqhc) in Pine Valley, California and active in the NPI registry since February 2020. The organization lists William Brian Wallace, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1770117814
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC
Location Address3291 BUCKMAN SPRINGS RDPine Valley, CA 91962-4003
Mailing Address1601 Precision Park LnSan Diego, CA 92173-1345 · (619) 205-6349
Phone(619) 662-4100
Organization SubpartNo
Authorized OfficialWilliam Brian WallaceVp/cfo · (619) 205-6339
Enumeration DateFebruary 27, 2020
✔ NPI 1770117814 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
3291 BUCKMAN SPRINGS RD, Pine Valley, CA 91962
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Other Names 1

Doing Business AsSan Ysidro Mountain Empire School Clinic

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

MOUNTAIN EMPIRE USD
Local Education Agency (LEA)
3291 BUCKMAN SPRINGS RD
PINE VALLEY, CA 91962
San Diego County (619) 473-9022
MOUNTAIN HEALTH & COMMUNITY SERVICES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
3291 BUCKMAN SPRINGS RD
PINE VALLEY, CA 91962
San Diego County (619) 473-8601
DIEGO BRISENO
Student in an Organized Health Care Education/Training Program
3291 BUCKMAN SPRINGS RD
PINE VALLEY, CA 91962
San Diego County (619) 473-9022
JOSEFINA MUNOZ
Psychologist (School)
3291 BUCKMAN SPRINGS RD
PINE VALLEY, CA 91962
San Diego County (619) 473-8601

Frequently Asked Questions

What is CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC's NPI number?

The NPI number assigned to this healthcare provider is 1770117814, enumerated as an "organization" on February 27, 2020.

Where is the provider located?

The provider is located at 3291 BUCKMAN SPRINGS RD PINE VALLEY, CA 91962 and the phone number is (619) 662-4100.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).