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San Diego Pace, LLC — NPI 1972464931, National City, CA | NPI Central

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NPI 1972464931

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San Diego Pace, LLC

NPI 1972464931 · PACE Provider Organization · National City, CA

Provider details

NPI number: 1972464931
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/Ceo(619) 662-4100

Specialties & taxonomies

PACE Provider OrganizationPrimary251T00000X
Agencies

Practice location

601 E 14th St Ste 101

National City, CA 91950-4629

Phone: (619) 662-4100

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

8080 Dagget St

San Diego, CA 92111-2333

Other names (DBA / former)

Doing business as: San Diego Pace National City

Registry dates

Enumerated: 2025-11-19
Last updated: 2025-11-19
Certified: 2025-11-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.