CHULA VISTA FAMILY CLINIC
NPI 1912950882
Clinic/Center - Federally Qualified Health Center (FQHC) in Chula Vista, CA

Active since May 19, 2006
865 3RD AVENUE, SUITE #133, CHULA VISTA, CA 91910(619) 662-4100(619) 422-0134 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Chula Vista Family Clinic NPPES

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

CHULA VISTA FAMILY CLINIC (NPI 1912950882) is a healthcare organization registered as a federally qualified health center (fqhc) in Chula Vista, California and active in the NPI registry since May 2006. The organization lists Gilbert Fimbres, Cfo, as its authorized official.

NPPES Registry Identity

NPI1912950882
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Location Address865 3RD AVENUE, SUITE #133Chula Vista, CA 91910
Mailing Address1275 30th StSan Diego, CA 92154-3476 · (619) 662-4100 · Fax (619) 428-7952
Fax(619) 422-0134
Organization SubpartNo
Authorized OfficialGilbert FimbresCfo · (619) 205-6331
Enumeration DateMay 19, 2006
Last NPPES UpdateFebruary 26, 2020
✔ NPI 1912950882 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
License✔ Licensed in CA · 090000300
865 3RD AVENUE, Chula Vista, CA 91910

Other Names 1

Doing Business AsChula Vista Family Clinic

Other Identifiers 1

MedicaidFHC70394FCA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chula Vista Family Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

576

Medicare enrollment records show 576 clinicians reassign Medicare billing to Chula Vista Family Clinic, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 284 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 36

Family Practice151
Internal Medicine80
Nurse Practitioner62
Dentist35
Clinical Social Worker32
Emergency Medicine31
Pediatric Medicine27
Psychiatry26
28 other specialties132

Nearest to this location (20)

See all 576
Family Practice
NPI 1710147566
865 3RD AVE SUITE 133
Chula Vista, CA 91911
(619) 428-1330
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1376639666
865 3RD AVE SUITE 133
Chula Vista, CA 91911
(619) 498-6200
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1174781132
865 3RD AVE STE 133
Chula Vista, CA 91911
(619) 205-1360
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1770718975
865 3RD AVE SUITE #133
Chula Vista, CA 91911
(619) 662-4100
✔ PECOSSame address
Family Practice
NPI 1780909903
865 3RD AVE #133
Chula Vista, CA 91910
(619) 662-4100
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1427123991
865 3RD AVE SUITE # 133
Chula Vista, CA 91911
(619) 498-6200
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1124039136
865 3RD AVE SUITE # 133
Chula Vista, CA 91911
(619) 662-4100
✔ PECOSSame address
Family Practice
NPI 1942435144
865 3RD AVE SUITE 133
Chula Vista, CA 91911
(619) 498-6200
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1508904657
855 3RD AVE STE 2200
Chula Vista, CA 91911
(619) 426-0100
✔ PECOSSame address
Nurse Practitioner
NPI 1932734597
880 3RD AVE STE A
Chula Vista, CA 91911
(619) 205-4585
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1942648621
880 THIRD AVE
Chula Vista, CA 91911
(808) 989-4398
✔ PECOS0.1 mi
Family Practice
NPI 1922532712
880 3RD AVE
Chula Vista, CA 91911
(619) 205-4585
✔ PECOS✔ Accepts Medicare0.1 mi
Physical Therapist in Private Practice
NPI 1134005713
880 THIRD AVE
Chula Vista, CA 91911
(619) 205-4585
✔ Accepts Medicare0.1 mi
Optometry
NPI 1326491770
835 3RD AVE STE A
Chula Vista, CA 91911
(619) 425-7755
✔ PECOS0.1 mi
Ophthalmology
NPI 1790054393
835 3RD AVE SUITE A
Chula Vista, CA 91911
(619) 425-7755
✔ PECOS✔ Accepts Medicare0.1 mi
Marriage and Family Therapist
NPI 1164691424
835 3RD AVE STE C
Chula Vista, CA 91911
(619) 427-4667
✔ PECOS0.1 mi
Clinical Psychologist
NPI 1952656902
678 3RD AVE
Chula Vista, CA 91910
(619) 662-4100
✔ PECOS0.5 mi
Psychiatry
NPI 1780734343
678 THIRD AVE
Chula Vista, CA 91910
(909) 838-3836
✔ PECOS✔ Accepts Medicare0.5 mi
Clinical Social Worker
NPI 1386281541
678 3RD AVE
Chula Vista, CA 91910
(619) 662-4100
✔ PECOS0.5 mi
Dentist
NPI 1003310251
678 3RD AVE
Chula Vista, CA 91910
(619) 662-4100
✔ PECOS0.5 mi
See all 576 clinicians

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

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 1912950882. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is doing business as Chula Vista Family 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 865 3rd Avenue Suite #133, 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.

Is Centro De Salud De La Comunidad De San Ysidro, Inc. enrolled in Medicare?

Yes. Centro De Salud De La Comunidad De San Ysidro, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Centro De Salud De La Comunidad De San Ysidro, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 576 clinicians in 36 Medicare specialties reassign their Medicare billing to Centro De Salud De La Comunidad De San Ysidro, 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. The largest specialties are Family Practice (151), Internal Medicine (80) and Nurse Practitioner (62). Of these, 9 practice at this address and 284 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 February 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.