OrganizationActive
Centro De Salud De La Comunidad De San Ysidro, Inc.
NPI 1376195040 · PACE Provider Organization · Chula Vista, CA
Provider details
- NPI number
- 1376195040
- Entity type
- Organization
- Primary specialty
- PACE Provider OrganizationAgencies
- Parent organization
- Centro De Salud De La Comunidad De San Ysidro, Inc.
- Authorized official
- Kevin Mattson, President/Ceo
Mailing address
8080 Dagget St
San Diego, CA 92111-2333
Registry dates
- Enumerated
- 2019-07-12
- Last updated
- 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.