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).
| 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 |
| 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 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 |
| 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 |
| Street Address |
880 THIRD AVE STE A |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91911 |
| 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 Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| 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 | ||||
| City | CHULA VISTA |
| Zip Code | 91911 |
Please comment or provide details below to improve the information on CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
| 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.