| NPI | 1326225632 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2008-01-29 |
| Last Updated | 2019-11-06 |
| Authorized Official | Kevin Mattson President/CEO Phone: 6196624100 |
| Mailing Address | 1601 Precision Park Ln San Diego, CA 92173-1345 United States Phone: (619) 662-4100 | Fax: (619) 428-7952 📍 View Map |
| Primary Practice Address | 3177 Ocean View Blvd San Diego, CA 92113-1432 United States Phone: (619) 662-4100 | Fax: (619) 428-7952 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | CA | FHC11998G | - |
| Other (non-Medicare) | CA | W5740 | Medicare Part B PTAN |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC) | CA | 090000143 |
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About NPI 1326225632
Centro De Salud De La Comunidad De San Ysidro Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1326225632. The primary specialty listed is Clinic/Center, Federally Qualified Health Center (FQHC). The organization is located in San Diego, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-01-29. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1326225632?
NPI 1326225632 belongs to Centro De Salud De La Comunidad De San Ysidro Inc, a Clinic/Center, Federally Qualified Health Center (FQHC) in San Diego, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1326225632 active?
The current status of NPI 1326225632 in the NPPES registry is Active. The record was last updated on 2019-11-06.
What specialty is NPI 1326225632?
NPI 1326225632 is classified under the taxonomy Clinic/Center, Federally Qualified Health Center (FQHC). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1326225632?
You can verify NPI 1326225632 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1326225632?
The primary practice address on file for NPI 1326225632 is 3177 Ocean View Blvd, San Diego, CA 92113-1432. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1326225632 issued?
NPI 1326225632 was first issued (enumerated) on 2008-01-29. The NPPES record was last updated on 2019-11-06.
Practice Location Map
Centro De Salud De La Comunidad De San Ysidro Inc is located at 3177 Ocean View Blvd, San Diego, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Centro De Salud De La Comunidad De San Ysidro Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1326225632. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Clinic/Center, Federally Qualified Health Center (FQHC) | 090000143 | CA |