OrganizationActive
Centro De Salud De La Comunidad De San Ysidro, Inc.
NPI 1265843122 · PACE Provider Organization · San Ysidro, CA
Provider details
- NPI number
- 1265843122
- 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
3364 Beyer Blvd
Suite #102 & #103
San Ysidro, CA 92173-1322
Phone: (619) 662-4100
Fax: (619) 600-4867
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 San Ysidro
- Doing business as
- San Ysidro Health San Diego Pace/Senior Health Services
Registry dates
- Enumerated
- 2014-05-14
- 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.