OrganizationActive
Centro De Salud De La Comunidad De San Ysidro, Inc.
NPI 1124793732 · PACE Provider Organization · Vista, CA
Provider details
- NPI number
- 1124793732
- Entity type
- Organization
- Primary specialty
- PACE Provider OrganizationAgencies
- Parent organization
- Centro De Salud De La Comunidad De San Ysidro, Inc.
- Organization subpart
- Yes
- Authorized official
- Kevin Mattson, President/Ceo(619) 662-4100
Specialties & taxonomies
Agencies
Practice location
1840 West Dr
Vista, CA 92083-6115
Phone: (619) 662-4100
Approximate (ZIP-level) locationGet directions
Mailing address
8080 Dagget St
San Diego, CA 92111-2333
Other names (DBA / former)
- Doing business as
- San Diego Pace Vista
Registry dates
- Enumerated
- 2021-08-16
- Last updated
- 2026-01-27
- Certified
- 2026-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.