Centro De Salud De La Comunidad De San Ysidro, Inc.
NPI 1174164719 · Federally Qualified Health Center (FQHC) · Campo, CA
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Centro De Salud De La Comunidad De San Ysidro, Inc. is a Federally Qualified Health Center (FQHC) organization in Campo, CA (NPI 1174164719).
Provider details
- NPI number
- 1174164719
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kevin Mattson, President/Ceo(619) 662-4100
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- San Ysidro Health Mountain Health Family Medicine
- Doing business as
- San Ysidro Health Mountain Health Family Medicine
Registry dates
- Enumerated
- 2019-10-04
- Last updated
- 2019-11-06
Frequently asked questions
- What is Centro De Salud De La Comunidad De San Ysidro, Inc.'s NPI number?
- Centro De Salud De La Comunidad De San Ysidro, Inc.'s National Provider Identifier (NPI) is 1174164719, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Centro De Salud De La Comunidad De San Ysidro, Inc.?
- Centro De Salud De La Comunidad De San Ysidro, Inc. is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Centro De Salud De La Comunidad De San Ysidro, Inc. located?
- Centro De Salud De La Comunidad De San Ysidro, Inc.'s practice location on file with NPPES is 1388 Buckman Springs Rd, Campo, CA 91906-2028.
- What is Centro De Salud De La Comunidad De San Ysidro, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Centro De Salud De La Comunidad De San Ysidro, Inc. is (619) 662-4100.
- Does Centro De Salud De La Comunidad De San Ysidro, Inc. accept Medicare?
- Centro De Salud De La Comunidad De San Ysidro, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Centro De Salud De La Comunidad De San Ysidro, Inc.?
- The authorized official listed on Centro De Salud De La Comunidad De San Ysidro, Inc.'s NPPES record is Kevin Mattson, President/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Centro De Salud De La Comunidad De San Ysidro, Inc.'s NPI active?
- Yes — Centro De Salud De La Comunidad De San Ysidro, Inc.'s NPI (1174164719) is active in the NPPES registry as of the last update on 2019-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.