CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC (NPI# 1194361154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194361154 |
| Entity Type | Organization |
| Organization Name | CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC |
| Practice Address |
505 N Mollison Ave Ste 201 El Cajon CA 92021-6159 |
| Mailing Address |
1601 Precision Park Ln San Diego CA 92173-1345 |
| Practice Telephone | 6196624100 |
| Mailing Telephone | 6192056349 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |
| Authorized Official Name | KEVIN MATTSON (PRESIDENT/CEO) |
| Authorized Official Telephone | 6196624100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| San Ysidro Health Mollison | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952915878 | Centro De Salud De La Comunidad De San Ysidro Inc | Clinic/Center | 880 3rd Ave, Chula Vista, CA 91911-1305 | 2020-09-08 |
| 1770117814 | Centro De Salud De La Comunidad De San Ysidro Inc | Clinic/Center | 3291 Buckman Springs Rd, Pine Valley, CA 91962-4003 | 2020-02-27 |
| 1558852947 | Centro De Salud De La Comunidad De San Ysidro Inc | Clinic/Center | 4050 Beyer Blvd, San Ysidro, CA 92173 | 2018-05-22 |
| 1326225632 | Centro De Salud De La Comunidad De San Ysidro Inc | Clinic/Center | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2008-01-29 |
| Street Address |
505 N MOLLISON AVE STE 201 |
| City | EL CAJON |
| State | CA |
| Zip Code | 92021-6159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728498 | Hala Kadhem | Counselor | 1664 Broadway, El Cajon, San Diego, CA 92021 | 2020-07-30 |
| 1891331021 | Medevac Inc | Ambulance | 8025 Tone Lane, El Cajon, CA 92021 | 2019-11-22 |
| 1760024095 | San Diego Health Alliance, Inc. | Clinic/Center | 1625 East Main Street, El Cajon, CA 92021 | 2019-10-08 |
| 1295388932 | Coleen Stacie Cobbs | Social Worker | 1013 Greta Street, El Cajon, CA 92021 | 2019-07-22 |
| 1144744475 | Sarah Kala | Pharmacist | 505 N Mollison Ave #102, El Cajon, CA 92021 | 2017-07-28 |
| 1699139816 | Mayra Aranda | Counselor | 1679 East Main Street, Suite 102, El Cajon, CA 92021 | 2016-04-13 |
| 1942603436 | Scott Crusey | Counselor | 1679 East Main Street, Suite 102, El Cajon, CA 92021 | 2014-09-29 |
| 1104254317 | Naimh Martin | Counselor | 1630 E Main Street, El Cajon, CA 92021 | 2013-10-25 |
| 1386875540 | Jacqueline Vu Luong | Marriage & Family Therapist | 1000 Broadway #100, El Cajon, CA 92021 | 2009-08-05 |
| 1740444264 | Peter Morhan Sun | General Practice | 7957 Bevin Lane, El Cajon, CA 92021 | 2008-07-14 |
| Find all providers in zip 92021 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568845741 | Centro De Salud De La Comunidad De San Ysidro, Inc. | Clinic/Center | 436 S Magnolia Ave Ste 101, El Cajon, CA 92020-5219 | 2015-07-07 |
| 1104861681 | Family Health Centers of San Diego, Inc | Clinic/Center | 1111 W Chase Ave, El Cajon, CA 92020-5710 | 2006-06-18 |
| 1356983241 | Family Health Centers of San Diego, Inc | Clinic/Center | 680 Fletcher Pkwy Ste 200, El Cajon, CA 92020-2500 | 2019-10-11 |
| 1932561198 | Family Health Centers of San Diego, Inc. | Clinic/Center | 525 E Main St, El Cajon, CA 92020-4007 | 2016-03-25 |
| 1134590086 | La Maestra Family Clinic Inc | Clinic/Center | 1032 Broadway, El Cajon, CA 92021-7416 | 2015-10-16 |
| 1669658373 | Family Health Centers of San Diego | Clinic/Center | 1111 W Chase Ave, El Cajon, CA 92020-5710 | 2008-01-11 |
| 1033395843 | Family Health Centers of San Diego | Clinic/Center | 1111 W Chase Ave, El Cajon, CA 92020-5710 | 2008-01-11 |
| 1164608972 | Family Health Centers of San Diego | Clinic/Center | 1111 W Chase Ave, El Cajon, CA 92020-5710 | 2008-01-11 |
| 1790961639 | La Maestra Family Clinic | Clinic/Center | 165 S 1st St, El Cajon, CA 92019-4795 | 2008-01-10 |
| 1760667950 | Neighborhood Healthcare | Clinic/Center | 855 E Madison Ave, El Cajon, CA 92020-3819 | 2008-01-07 |
| Find all providers in EL CAJON | ||||
Please comment or provide details below to improve the information on CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.