OrganizationActive
Centro De Salud De La Comunidad De San Ysidro, Inc.
NPI 1346187440 · PACE Provider Organization · El Cajon, CA
Provider details
- NPI number
- 1346187440
- 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
- William Wallace, Vp/Cfo(619) 662-4100
Specialties & taxonomies
Agencies
Practice location
875 El Cajon Blvd Ste 101
El Cajon, CA 92020-5714
Phone: (619) 662-4100
Approximate (ZIP-level) locationGet directions
Mailing address
1601 Precision Park Ln
San Diego, CA 92173-1345
Other names (DBA / former)
- Doing business as
- San Diego Pace El Cajon
Registry dates
- Enumerated
- 2026-04-29
- Last updated
- 2026-04-29
- Certified
- 2026-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.