Centro De Salud De La Comunidad De San Ysidro, Inc.
NPI 1235804139 · Federally Qualified Health Center (FQHC) · Julian, 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 Julian, CA (NPI 1235804139).
Provider details
- NPI number
- 1235804139
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- William Wallace, Cfo(619) 205-6339
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
4 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 Julian Family Medicine
Registry dates
- Enumerated
- 2021-08-12
- Last updated
- 2026-04-22
- Certified
- 2026-04-22
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 1235804139, 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 2717 A. St, Julian, CA 92036-9233.
- 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 William Wallace, Cfo. 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 (1235804139) is active in the NPPES registry as of the last update on 2026-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.