CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
NPI 1922051812
Clinic/Center - Federally Qualified Health Center (FQHC) in Chula Vista, 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 May 19, 2006

1637 3RD AVE SUITE B, C, F, H & I, CHULA VISTA, CA 91911(619) 662-4100(619) 205-1376 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2025, Mar 16, 2023, Nov 6, 2019 and 5 more (8 updates tracked since 2017).

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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 1922051812), doing business as San Ysidro Health Otay, 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 Kevin Mattson, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1922051812

Entity TypeOrganization

Primary Taxonomy261QF0400X

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

Location Address1637 3RD AVE SUITE B, C, F, H & IChula Vista, CA 91911-5823

Mailing Address1601 Precision Park LnSan Diego, CA 92173-1345 · (619) 662-4100 · Fax (619) 428-2625

Phone(619) 662-4100

Fax(619) 205-1376

Organization SubpartNo

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

Enumeration DateMay 19, 2006

Last NPPES UpdateSeptember 12, 20258 updates tracked since enumeration

NPPES CertifiedMarch 16, 2023

✔ NPI 1922051812 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 · 090000136

Other Names 1

Doing Business AsSan Ysidro Health Otay

Other Identifiers 3

OtherW5740CCA · Noridian Medicare Part B

MedicaidFHC11992HCA

Other551966CA · Ngs Medicare Part A

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 1922051812. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is doing business as San Ysidro Health Otay.

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 1637 3rd Ave Suite B, C, F, H & I, Chula Vista, CA 91911. 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 September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.