Centro De Salud De La Comunidad De San Ysidro, Inc., NPI 1952364747
Federally Qualified Health Center (FQHC) in San Ysidro, CA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1952364747
NPI Entity Type Organization
Provider Name Centro De Salud De La Comunidad De San Ysidro, Inc.
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 4004 Beyer Blvd, San Ysidro, CA, US
Provider Mailing Address 1601 Precision Park Ln, San Diego, CA, US, 921731345
Is Sole Proprietor? No
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Organization Official

Official Name Kevin Mattson
Official Position PRESIDENT AND CEO
Phone 619-662-4100

Primary Taxonomy

Taxonomy Code

261QF0400X

Taxonomy Name Federally Qualified Health Center (FQHC)
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

License No. 090000140
License State CA
Description Definition to come...

Other Organization Name

San Ysidro Health San Ysidro Health Center
Doing Business As

Business Address

Centro De Salud De La Comunidad De San Ysidro, Inc.
4004 Beyer Blvd

San Ysidro, CA, US

Phone: 619-662-4100
Fax: 619-205-6373

Mailing Address

Centro De Salud De La Comunidad De San Ysidro, Inc.
1601 Precision Park Ln
San Diego, CA, US
ZIP 921731345
Phone: 619-662-4100
Fax: 619-428-7952

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
FHC18880F CA MEDICAL 01
W5740 MEDICARE PTAN PART B 01

Other Providers in CA, US

NPI Name Taxonomy Address

1437888120

DR. MD Manraj Singh Sekhon

Individual

Student in an Organized Health Care Education/Training Program

14350 Meridian Parkway

Riverside, CA

1043930449

MRS. FNP Rupinderjit Kaur

Individual

Family Nurse Practitioner

4120 Dublin Blvd

Dublin, CA

1083182836

Lorraine Elizabeth Bishop

Individual

Behavior Technician

1811 Grand Canal Blvd Ste 2

Stockton, CA

1073247417

Conor Kelly

Individual

Addiction (Substance Use Disorder) Counselor

380 Encinal St Ste 200

Santa Cruz, CA

1700525607

MA Nicole Phyllis Bermensolo

Individual

Group Psychotherapy Psychologist

10586 W Pico Blvd # 257

Los Angeles, CA

1477168409

BA SLPA Anna Shurilla

Individual

Speech-Language Assistant

500 W Central Ave Ste B

Brea, CA

1154881787

Keith Chung

Individual

11015 Bloomfield Ave

Santa Fe Springs, CA

1578283495

RD, CNSC Jessica Ann Mumaugh

Individual

Registered Dietitian

1 Hoag Dr

Newport Beach, CA

1073277828

MS. PA-C Leia Binh Tang

Individual

Physician Assistant

12462 Putnam St Ste 501

Whittier, CA

1881220341

Heidi Velasquez

Individual

Mental Health Counselor

470 E 3rd St Ste C

Los Angeles, CA

1083776496

DR. D.C. Julio Cesar Fassino

Individual

Chiropractor

20321 Sw Acacia St Ste 100

Newport Beach, CA

1174949879

Alayne Dhamecha

Individual

Clinical Social Worker

23046 Anza Ave

Torrance, CA

1164908554

Jacqueline Daphnee Surpin

Individual

Counselor

730 Medical Center Ct

Chula Vista, CA

1306211669

Kacey Hu

Individual

Neurology Physician

2051 Marengo St

Los Angeles, CA

1720613144

AMFT Johanna Belen Brubaker

Individual

Marriage & Family Therapist

474 W Vermont Ave

Escondido, CA

1922723485

April Waight

Individual

Behavior Technician

1200 Concord Ave Ste 100

Concord, CA

1346513611

Catherine S. Montemayor

Individual

Family Nurse Practitioner

4150 Clement St

San Francisco, CA

1356093884

LMFT Jeremey Sulker-hall

Individual

Marriage & Family Therapist

31200 Via Colinas Ste 202

Westlake Village, CA

1306109053

M.D., M.P.H. Vivek Datta

Individual

Behavioral Neurology & Neuropsychiatry Physician

2211 Post St Ste 300

San Francisco, CA

1265563514

MFT Yasmin Vishram-morris

Individual

Marriage & Family Therapist

9696 Culver Blvd Ste 303

Culver City, CA

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