Organization · Type 2 NPI

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

PACE Provider Organization · Vista, CA

NPI number 1124793732 Active

Practice location

1840 West Dr
Vista, CA 92083-6115

Call (619) 662-4100 Map

Mailing address

8080 Dagget St
San Diego, CA 92111-2333

Specialties and licenses

TaxonomyCodeLicense
PACE Provider Organization Primary 251T00000XNone listed

PACE Provider Organization: A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE ser…

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About NPI 1124793732

Centro de Salud de la Comunidad de San Ysidro, Inc.'s National Provider Identifier is 1124793732, issued on Aug 16, 2021. The primary taxonomy on file is PACE Provider Organization (251T00000X), and the practice location is in Vista, CA. The record was last updated on Jan 27, 2026.