SAN YSIDRO HEALTH SAN YSIDRO HEALTH CENTER
NPI 1952364747
Clinic/Center - Federally Qualified Health Center (FQHC) in San Ysidro, CA

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

Active since April 11, 2006

4004 BEYER BLVD, SAN YSIDRO, CA 92173(619) 662-4100(619) 205-6373 Get Directions Write a Review

NPPES record last updated: May 8, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 8, 2019, Apr 30, 2019, Nov 6, 2018 and 2 more (5 updates tracked since 2015).

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About San Ysidro Health San Ysidro Health Center NPPES

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

SAN YSIDRO HEALTH SAN YSIDRO HEALTH CENTER (NPI 1952364747) is a healthcare organization registered as a federally qualified health center (fqhc) in San Ysidro, California and active in the NPI registry since April 2006. The organization lists Kevin Mattson, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1952364747

Entity TypeOrganization

Primary Taxonomy261QF0400X

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

Location Address4004 BEYER BLVDSan Ysidro, CA 92173-2007

Mailing Address1601 Precision Park LnSan Diego, CA 92173-1345 · (619) 662-4100 · Fax (619) 428-7952

Phone(619) 662-4100

Fax(619) 205-6373

Organization SubpartNo

Authorized OfficialKevin MattsonPresident And Ceo · (619) 662-4100

Enumeration DateApril 11, 2006

Last NPPES UpdateMay 8, 20195 updates tracked since enumeration

✔ NPI 1952364747 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 · 090000140

4004 BEYER BLVD, San Ysidro, CA 92173

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Other Names 1

Doing Business AsSan Ysidro Health San Ysidro Health Center

Other Identifiers 2

OtherFHC18880FCA · Medical

OtherW5740Medicare Ptan Part B

Other Providers at the Same Location NPPES 20

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

TERRENCE MCCARTHY RPH

Pharmacist