CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDROINC. NPI 1205417946

NPI Information

NPI: 1205417946
Provider Name: CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO,INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
391 OXFORD ST
CHULA VISTA, CA
ZIP 91911
Phone: (619) 662-4100
Get Directions

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 1205417946. The provider is registered as an organization entity type.

The provider's business location address is:

391 OXFORD ST
CHULA VISTA, CA
ZIP 91911-114
Phone: (619) 662-4100

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

The enumeration date for this NPI number is 4/15/2021 and was last updated on 4/15/2021.

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
1	261QF0400X	Clinic/Center	Federally 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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »