Centro De Salud De La Comunidad De San Ysidro Inc
NPI 1770117814 · Federally Qualified Health Center (FQHC) · Pine Valley, CA
Centro De Salud De La Comunidad De San Ysidro Inc is a Federally Qualified Health Center (FQHC) organization in Pine Valley, CA (NPI 1770117814).
Provider details
- NPI number
- 1770117814
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- William Wallace, Vp/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
6 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 Mountain Empire School Clinic
Registry dates
- Enumerated
- 2020-02-27
- Last updated
- 2020-02-27
- Certified
- 2020-02-27
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 1770117814, 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 3291 Buckman Springs Rd, Pine Valley, CA 91962-4003.
- 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.
- 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, Vp/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 (1770117814) is active in the NPPES registry as of the last update on 2020-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.