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 Ysidro Health San Diego PACE/Senior Health Services, San Diego PACE San Ysidro
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
3364 BEYER BLVD, SUITE #102 & #103, SAN YSIDRO, CA 92173-1322
(619) 662-4100
(619) 600-4867
Mailing address
8080 DAGGET ST, SAN DIEGO, CA 92111-2333
(619) 662-4100
(619) 428-7952
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/14/2014
Last updated
01/27/2026
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