OrganizationActive
Centro De Salud De La Comunidad De San Ysidro, Inc.
NPI 1396081550 · Rural Health Clinic/Center · San Ysidro, CA
Provider details
- NPI number
- 1396081550
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kevin Mattson, President and Ceo(619) 662-4100
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
4004 Beyer Blvd
San Ysidro, CA 92173-2007
Phone: (619) 662-4100
Fax: (619) 205-6373
Street-level locationGet directions
Mailing address
1601 Precision Park Ln
San Diego, CA 92173-1345
Other names (DBA / former)
- Doing business as
- San Ysidro Health Mobile Health Services 1h
- Doing business as
- San Ysidro Health Mobile Health Services 1h
Registry dates
- Enumerated
- 2012-12-17
- Last updated
- 2018-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.