Organization · Type 2 NPI

Centro de Salud de la Comunidad de San Ysidro, Inc.

Federally Qualified Health Center (FQHC) · National City, CA

NPI number 1003869363 Active

Practice location

1136 D Avenue
National City, CA 91950

Call (619) 336-2300 Map

Fax (619) 336-2323

Mailing address

1601 Precision Park Ln
San Diego, CA 92173-1345

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	090000218 (CA)

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

Maria Teresa Carriedo-Ceniceros, MDFamily Medicine Physician National City, CA NPI 1295746618

Other federally qualified health center (fqhc) providers in National City

See all in National City →

NPI record

NPI: 1003869363
Entity type: Organization (Type 2)
Issued: May 18, 2006
Last updated: Oct 2, 2025
Status: Active

Other names

<unavail>
San Ysidro Health National City · doing business as
San Ysidro Health National City Family Clinic · doing business as

Authorized official

Kevin Mattson
President/ceo
(619) 662-4100

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003869363

Centro de Salud de la Comunidad de San Ysidro, Inc.'s National Provider Identifier is 1003869363, issued on May 18, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in National City, CA. The record was last updated on Oct 2, 2025.