CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC. (NPI# 1801438239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801438239 |
| Entity Type | Organization |
| Organization Name | CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC. |
| Other Organization Name | SAN YSIDRO HEALTH ESCONDIDO FAMILY MEDICINE |
| Practice Address |
255 N Ash St Ste 101 Escondido CA 92027-3069 |
| Mailing Address |
1601 Precision Park Ln San Diego CA 92173-1345 |
| Practice Telephone | 6196624100 |
| Mailing Telephone | 6196624100 |
| Enumeration Date | 2019-10-17 |
| 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 Escondido Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851757215 | Centro De Salud De La Comunidad De San Ysidro, Inc. | Clinic/Center | 330-340 E. 8th St, National City, CA 91950-2312 | 2016-01-14 |
| 1568845741 | Centro De Salud De La Comunidad De San Ysidro, Inc. | Clinic/Center | 436 S Magnolia Ave Ste 101, El Cajon, CA 92020-5219 | 2015-07-07 |
| 1356750657 | Centro De Salud De La Comunidad De San Ysidro, Inc. | Clinic/Center | 1058 3rd Ave, Chula Vista, CA 91911-2009 | 2014-08-12 |
| 1265843122 | Centro De Salud De La Comunidad De San Ysidro, Inc. | Clinic/Center | 3364 Beyer Blvd, Suite #102 & #103, San Ysidro, CA 92173-1322 | 2014-05-14 |
| 1538262092 | Centro De Salud De La Comunidad De San Ysidro, Inc. | Clinic/Center | 950 S Euclid Ave, San Diego, CA 92114-6201 | 2006-09-07 |
| 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 |
| 1003869363 | Centro De Salud De La Comunidad De San Ysidro, Inc. | Clinic/Center | 1136 D Avenue, National City, CA 91950 | 2006-05-18 |
| 1205477841 | Centro De Salud De La Comunidad De San Ysidro, Inc. | Clinic/Center | 4690 El Cajon Blvd, San Diego, CA 92115-4403 | 2019-10-04 |
| 1376184911 | Centro De Salud De La Comunidad De San Ysidro, Inc. | Clinic/Center | 120 Town Center Pkwy, Santee, CA 92071-5801 | 2019-10-04 |
| 1174164719 | Centro De Salud De La Comunidad De San Ysidro, Inc. | Clinic/Center | 1388 Buckman Springs Rd, Campo, CA 91906-2028 | 2019-10-04 |
| Street Address |
255 N ASH ST STE 101 |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92027-3069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063613263 | Mountain Health & Community Services, Inc. | Clinic/Center | 255 N Ash St Ste 101, Escondido, CA 92027-3069 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912404179 | Shaunntanel Lund | Midwife | 16625 New Moon Lane, Escondido, CA 92027 | 2018-04-12 |
| 1457871766 | Stephen Martinez | Physical Therapy Assistant | 466 Devonshire Glen, Escondido, CA 92027 | 2017-06-27 |
| 1407227184 | Fletcher Carson | Military Health Care Provider | 719 Erica Street, Escondido, CA 92027 | 2015-10-07 |
| 1336413426 | Nadir T. Khuri | General Practice | 3284 White Hawk Rd., Escondido, CA 92027 | 2012-03-07 |
| 1598914624 | Maria Graciela Herrera | Case Manager/Care Coordinator | 463 N Midway, Ste 200, Escondido, CA 92027 | 2008-09-12 |
| 1891850913 | Anna Kansky | Dentist | 1711 E Valley Pkwy, Millennium Dental, Escondido, CA 92027 | 2006-12-27 |
| 1629164322 | County of San Diego | Exclusive Provider Organization | 420 North Falconer Road, Escondido, CA 92027 | 2006-10-04 |
| 1619968005 | Kaufman Physical Therapy Inc | Physical Therapist | 1318 Mountain Park Place, Escondido, CA 92027 | 2005-11-03 |
| 1336670645 | Ashley Ingram | Dentist | 430 N Rose St, Escondido, CA 92027 | 2017-03-27 |
| 1487899233 | Lindsley Marie Shaw | Case Manager/Care Coordinator | 463 N Midway, Escondido, CA 92027 | 2008-12-09 |
| Find all providers in zip 92027 | ||||
| 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 |
|---|---|---|---|---|
| 1184267825 | Borrego Community Health Foundation | Clinic/Center | 1111 E Washington Ave # Abg, Escondido, CA 92025-2226 | 2019-10-25 |
| 1932622446 | Neighborhood Healthcare | Clinic/Center | 488 E Valley Pkwy Ste 404, Escondido, CA 92025-3379 | 2017-07-18 |
| 1023349883 | Borrego Community Health Foundation | Clinic/Center | 1151 E Washington Ave Ste C, Escondido, CA 92025-2254 | 2010-01-19 |
| 1063613263 | Mountain Health & Community Services, Inc. | Clinic/Center | 255 N Ash St Ste 101, Escondido, CA 92027-3069 | 2007-05-29 |
| 1598703647 | Neighborhood Healthcare | Clinic/Center | 460 N Elm St, Escondido, CA 92025-3002 | 2006-06-02 |
| 1295192656 | Mountain Health & Community Services, Inc | Clinic/Center | 125 W Mission Ave Ste 105, Escondido, CA 92025-1721 | 2016-01-15 |
| 1487826772 | Neighborhood Healthcare | Clinic/Center | 1001 E Grand Ave, Escondido, CA 92025-4604 | 2008-03-27 |
| 1720264641 | Neighborhood Healthcare | Clinic/Center | 728 E Valley Pkwy, Escondido, CA 92025-3052 | 2008-01-10 |
| 1437335353 | Neighborhood Healthcare | Clinic/Center | 425 N Date St, Escondido, CA 92025-3413 | 2008-01-10 |
| 1265618185 | Neighborhood Healthcare | Clinic/Center | 426 N Date St, Escondido, CA 92025-3409 | 2008-01-10 |
| Find all providers in ESCONDIDO | ||||
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| 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.