OrganizationActive
San Diego Pace, LLC
NPI 1811721855 · PACE Provider Organization · El Cajon, CA
Provider details
- NPI number
- 1811721855
- 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 and Ceo(619) 662-4100
Specialties & taxonomies
Agencies
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
875 El Cajon Blvd Ste 101
El Cajon, CA 92020-5714
Phone: (619) 662-4100
Street-level locationGet directions
Mailing address
8080 Dagget St
San Diego, CA 92111-2333
Other names (DBA / former)
- Doing business as
- San Diego Pace El Cajon
Registry dates
- Enumerated
- 2024-08-30
- 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.