Organization · Type 2 NPI

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

Federally Qualified Health Center (FQHC) · Santee, CA

NPI number 1376184911 Active

Practice location

120 Town Center Pkwy
Santee, CA 92071-5801

Call (619) 662-4100 Map

Mailing address

1601 Precision Park Ln
San Diego, CA 92173-1345

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

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

7 other providers at this address

Other federally qualified health center (fqhc) providers in Santee

Mountain Health & Community Services, IncFederally Qualified Health Center (FQHC) Santee, CA NPI 1932566395

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NPI record

NPI: 1376184911
Entity type: Organization (Type 2)
Issued: Oct 4, 2019
Last updated: Nov 6, 2019
Status: Active

Other names

<unavail>
San Ysidro Health Santee Family Medicine · doing business as
San Ysidro Health Santee Family Medicine · doing business as

Authorized official

Kevin Mattson
President/ceo
(619) 662-4100

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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 1376184911

Centro de Salud de la Comunidad de San Ysidro, Inc.'s National Provider Identifier is 1376184911, issued on Oct 4, 2019. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Santee, CA. The record was last updated on Nov 6, 2019.