CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC NPI 1023608601

NPI Information

  • NPI: 1023608601
  • Provider Name: CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Address: 1061 TIERRA DEL REY
    STE 303, 304, 305
    CHULA VISTA, CA
    ZIP 91910
  • Phone: (619) 662-4100

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NPI Details

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC is a federally qualified health center (fqhc) clinic center in Chula Vista, CA. CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC NPI is 1023608601. The provider is registered as an organization entity type.

The provider's business location address is:

1061 TIERRA DEL REY
STE 303, 304, 305
CHULA VISTA, CA
ZIP 91910
Phone: (619) 662-4100

The provider's authorized official is William Brian Wallace .
The authorized official title is Cfo/vp and has the following contact phone number (619) 205-6339.

The enumeration date for this NPI number is 1/19/2021 and was last updated on 1/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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