CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC


Address: 1800 Maxwell Rd, Chula Vista, CA 91911-6158
Phone: 6192056349

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC (NPI# 1649835752) 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) 1649835752
Entity Type Organization
Organization Name CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC
Other Organization Name SAN YSIDRO HEALTH
Practice Address 1800 Maxwell Rd
Chula Vista
CA 91911-6158
Mailing Address 1601 Precision Park Ln
San Diego
CA 92173
Practice Telephone 6192056349
Mailing Telephone 6192056349
Enumeration Date 2019-05-03
Last Update Date 2020-01-14
Authorized Official Name ANTONIETTA MCGUIRK (DIRECTOR OF REVENUE CYCLE)
Authorized Official Telephone 6196624140
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA 1952364747 05

Other Provider/Organization Names

Other Name Type Code
San Ysidro Health 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
1295228328 Centro De Salud De La Comunidad De San Ysidro, Inc Clinic/Center 880 Third Ave Ste A, Chula Vista, CA 91911 2018-06-13
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 1800 MAXWELL RD
City CHULA VISTA
State CA
Zip Code 91911-6158

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316565419 Karen Itzayana Bahena Case Manager/Care Coordinator 1800 Maxwell Rd, Chula Vista, CA 91911-6158 2020-07-06

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
1295228328 Centro De Salud De La Comunidad De San Ysidro, Inc Clinic/Center 880 Third Ave Ste A, Chula Vista, CA 91911 2018-06-13
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
Find all providers in zip 91911

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164074910 Isaiah Nigel Ledonne Case Manager/Care Coordinator 746 Ada St Ste 106, Chula Vista, CA 91911-2676 2019-07-11
1609331669 Dayna Lopez Case Manager/Care Coordinator 865 Third Ave Ste 1110, Chula Vista, CA 91911-1300 2019-02-04
1437628732 Angela Andrea Tomlinson Case Manager/Care Coordinator 1653 Albany Ave, Chula Vista, CA 91911-5801 2018-11-15
1932683158 Laura Soto Case Manager/Care Coordinator 915 Fourth Ave, Chula Vista, CA 91911-2083 2018-09-24
1871092379 Asuzena Larez Case Manager/Care Coordinator 746 Ada St, Chula Vista, CA 91911-2693 2018-02-09
1114374121 Rosa Maria Arce Case Manager/Care Coordinator 430 F St., Chula Vista, CA 91910 2016-05-19
1023476645 Gisela Moreno Case Manager/Care Coordinator 430 F. St, Chula Vista, CA 91910 2016-02-10
1639575558 Denise Diaz Case Manager/Care Coordinator 430 F Street, Chula Vista, CA 91910 2014-11-05
1033514104 Gabriela Huerta Case Manager/Care Coordinator 996 Bellflower Ct, Chula Vista, CA 91913-2873 2014-10-30
1932514924 Giovan Hernandez Case Manager/Care Coordinator 1196 3rd Ave Ste C, Chula Vista, CA 91911-3131 2014-06-27
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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