CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC


Address: 880 Third Ave Ste A, Chula Vista, CA 91911
Phone: 6196624100

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC (NPI# 1295228328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295228328
Entity Type Organization
Organization Name CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC
Other Organization Name SAN YSIDRO HEALTH ADULT DAY HEALTH CARE-CHULA VISTA
Practice Address 880 Third Ave Ste A
Chula Vista
CA 91911
Mailing Address 1601 Precision Park Ln
San Diego
CA 92173-1345
Practice Telephone 6196624100
Mailing Telephone 6196624100
Enumeration Date 2018-06-13
Last Update Date 2019-11-06
Authorized Official Name KEVIN MATTSON (PRESIDENT/CEO)
Authorized Official Telephone 6196624100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
San Ysidro Health Adult Day Health Care-Chula Vista Doing Business As Name - Organization
San Ysidro Health Adult Day Health-Chula Vista Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1366053167 Centro De Salud De La Comunidad De San Ysidro, Inc Clinic/Center 333 H St Ste 2080, Chula Vista, CA 91910-5558 2020-08-14
1649835752 Centro De Salud De La Comunidad De San Ysidro, Inc Case Manager/Care Coordinator 1800 Maxwell Rd, Chula Vista, CA 91911-6158 2019-05-03
1821625278 Centro De Salud De La Comunidad De San Ysidro, Inc Clinic/Center 292 Euclid Ave Ste 210, San Diego, CA 92114-3629 2020-03-25
1184135873 Centro De Salud De La Comunidad De San Ysidro, Inc Clinic/Center 855 3rd Ave Ste 2200, Chula Vista, CA 91911-1353 2017-10-20

Office Location

Street Address 880 THIRD AVE STE A
City CHULA VISTA
State CA
Zip Code 91911

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962011064 Hfm Inc Pharmacy 750 Medical Center Court, Suite 8, Unit A, Chula Vista, CA 91911 2020-07-24
1659991198 Cindy Way Student in an Organized Health Care Education/Training Program 1161 Bay Blvd. Ste. B Chula Vista,ca 91911, Chula Vista, CA 91911 2020-04-24
1083243455 Uriel Angel Gonzalez Student in an Organized Health Care Education/Training Program 1161 Bay Boulevard B, Chula Vista, Chula Vista, CA 91911 2020-04-07
1083252464 Denisse Patricia Macias Dentist 235 East Orange Avenue, Apartment E4, Chula Vista, CA 91911 2019-12-16
1952955494 Jenifer Irene Wright Counselor 1180 Third Ave Suite C-3, Chula Vista, CA 91911 2019-08-01
1891357075 Myriam Lourdes Scales Counselor 1172 3rd Ave Suite D1, Chula Vista, CA 91911 2019-07-08
1902398589 The Arc of San Diego Day Training, Developmentally Disabled Services 1280 Nolan Avenue, Chula Vista, CA 91911 2018-05-31
1003344292 Jalitza Cardona Peer Specialist 853 3rd Ave, Suite C, Chula Vista, CA 91911 2017-06-01
1598138042 Amy Nylund Nurse Practitioner 754 Medical Center Ct Ste 100, Chula Vista, CA 91911 2015-11-05
1023495181 Crestwood Behavioral Health, Inc. Intermediate Care Facility, Mental Illness 960 Third Ave, Chula Vista, CA 91911 2015-04-28
Find all providers in zip 91911

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366053167 Centro De Salud De La Comunidad De San Ysidro, Inc Clinic/Center 333 H St Ste 2080, Chula Vista, CA 91910-5558 2020-08-14
1952925109 Family Health Centers of San Diego, Inc Clinic/Center 333 H St Ste 2010, Chula Vista, CA 91910-5556 2020-06-03
1356750657 Centro De Salud De La Comunidad De San Ysidro, Inc. Clinic/Center 1058 3rd Ave, Chula Vista, CA 91911-2009 2014-08-12
1497178750 Family Health Centers of San Diego Clinic/Center 352 E L St, Chula Vista, CA 91911-1523 2014-01-22
1922051812 Centro De Salud De La Comunidad De San Ysidro, Inc. Clinic/Center 1637 3rd Ave Ste B, Chula Vista, CA 91911-5823 2006-05-19
1952915878 Centro De Salud De La Comunidad De San Ysidro Inc Clinic/Center 880 3rd Ave, Chula Vista, CA 91911-1305 2020-09-08
1376195040 Centro De Salud De La Comunidad De San Ysidro, Inc. Clinic/Center 880 3rd Ave, Chula Vista, CA 91911-1305 2019-07-12
1184135873 Centro De Salud De La Comunidad De San Ysidro, Inc Clinic/Center 855 3rd Ave Ste 2200, Chula Vista, CA 91911-1353 2017-10-20
1023462066 Family Health Centers of San Diego Inc Clinic/Center 248 Landis Ave, Chula Vista, CA 91910-2609 2016-04-15
1326486861 Centro De Salud De La Comunidad De San Ysidro, Inc. Clinic/Center 678 3rd Ave, Chula Vista, CA 91910-5736 2013-06-06
Find all providers in CHULA VISTA

Competitor

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City CHULA VISTA
Zip Code 91911

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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