Organization
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Active
Parent organization
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Other names
San Diego PACE Vista, San Ysidro Health Vista PACE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Authorized official
KEVIN MATTSON (PRESIDENT/CEO)
(619) 662-4100
Entity
Organization
Contact information
Practice address
1840 WEST DR, VISTA, CA 92083-6115
(619) 662-4100
Mailing address
8080 DAGGET ST, SAN DIEGO, CA 92111-2333
(619) 662-4100
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
01/27/2026
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