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 Chula Vista, San Diego PACE Chula Vista
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
880 3RD AVE # A, CHULA VISTA, CA 91911-1305
(619) 662-4100
Mailing address
8080 DAGGET ST, SAN DIEGO, CA 92111-2333
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/12/2019
Last updated
01/27/2026
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