CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
NPI 1902587298
Clinic/Center - Federally Qualified Health Center (FQHC) in Chula Vista, CA

Active since July 28, 2023
480 FOURTH AVE STE 506, CHULA VISTA, CA 91910(619) 662-4100 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2026, Jul 28, 2023 (2 updates tracked since 2023).

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 1902587298), doing business as San Ysidro Health Wellness Clinic, is a healthcare organization registered as a federally qualified health center (fqhc) in Chula Vista, California and active in the NPI registry since July 2023. The organization lists Kevin Mattson, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1902587298
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Location Address480 FOURTH AVE STE 506Chula Vista, CA 91910-4414
Mailing Address1601 Precision Park LnSan Diego, CA 92173-1345 · (619) 662-4100
Organization SubpartNo
Authorized OfficialKevin MattsonPresident/ceo · (619) 662-4100
Enumeration DateJuly 28, 2023
Last NPPES UpdateJanuary 20, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
NPI 1902587298 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
480 FOURTH AVE STE 506, Chula Vista, CA 91910

Other Names 1

Doing Business AsSan Ysidro Health Wellness Clinic

Other Providers at the Same Location NPPES

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

Physician Assistant (Medical)
480 FOURTH AVE STE 506
CHULA VISTA, CA 91910

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 1902587298. It was assigned to this organization in the NPPES registry on July 28, 2023. The provider is doing business as San Ysidro Health Wellness 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 480 Fourth Ave Ste 506, Chula Vista, CA 91910. 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 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.