Provider Type Icon

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC. NPI 1205477841


NPI Information

NPI: 1205477841
Provider Name: CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.

Doing Business As: SAN YSIDRO HEALTH COMMUNITY HEIGHTS FAMILY MEDICINE

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
4690 EL CAJON BLVD
SAN DIEGO, CA
ZIP 92115
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 San Diego, CA. CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC. NPI is 1205477841. The provider is registered as an organization entity type.
The provider Is Doing Business As San Ysidro Health Community Heights Family Medicine.

The provider's business location address is:

4690 EL CAJON BLVD
SAN DIEGO, CA
ZIP 92115-403
Phone: (619) 662-4100

The provider's authorized official is Kevin Mattson .
The authorized official title is President/ceo and has the following contact phone number (619) 662-4100.

The enumeration date for this NPI number is 10/4/2019 and was last updated on 11/6/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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: 4/28/2024

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.