CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC. NPI 1821275132

NPI Information

NPI: 1821275132
Provider Name: CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.

Doing Business As: SAN YSIDRO HEALTH EUCLID

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
286 EUCLID AVE
SUITE #302
SAN DIEGO, CA
ZIP 92114
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 1821275132. The provider is registered as an organization entity type.
The provider Is Doing Business As San Ysidro Health Euclid.

The provider's business location address is:

286 EUCLID AVE
SUITE #302
SAN DIEGO, CA
ZIP 92114-616
Phone: (619) 662-4100
Fax: (619) 428-7952

The provider's authorized official is Kevin Mattson .
The authorized official title is President/ceo and has the following contact phone number (619) 205-4100.

The enumeration date for this NPI number is 1/29/2008 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	090000622	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W5740	OTHER	CALIFORNIA	MEDICARE PART B PTAN#
2	FHC70797F	MEDICAID	CALIFORNIA

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

NPI Synchronization or Removal

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