SAN YSIDRO HEALTH ALPINE PEDIATRICS MEDICAL CLINIC
NPI 1770178444
Clinic/Center - Federally Qualified Health Center (FQHC) in Alpine, 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 March 04, 2021

2733 ALPINE BLVD STE 200, ALPINE, CA 91901(619) 662-4100 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 29, 2021, Mar 4, 2021 (2 updates tracked since 2021).

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About San Ysidro Health Alpine Pediatrics Medical Clinic NPPES

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

SAN YSIDRO HEALTH ALPINE PEDIATRICS MEDICAL CLINIC (NPI 1770178444) is a healthcare organization registered as a federally qualified health center (fqhc) in Alpine, California and active in the NPI registry since March 2021. The organization lists William Brian Wallace, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1770178444

Entity TypeOrganization

Primary Taxonomy261QF0400X

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

Location Address2733 ALPINE BLVD STE 200Alpine, CA 91901-2253

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

Phone(619) 662-4100

Organization SubpartNo

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

Enumeration DateMarch 4, 2021

Last NPPES UpdateMarch 29, 20212 updates tracked since enumeration

NPPES CertifiedMarch 17, 2021

✔ NPI 1770178444 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

2733 ALPINE BLVD STE 200, Alpine, CA 91901

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Other Names 1

Doing Business AsSan Ysidro Health Alpine Pediatrics Medical Clinic

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 1770178444. It was assigned to this organization in the NPPES registry on March 4, 2021. The provider is doing business as San Ysidro Health Alpine Pediatrics Medical Clinic.

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 2733 Alpine Blvd Ste 200, Alpine, CA 91901. 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 March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.