Organization
SAN DIEGO PACE, LLC
Active
Organization
SAN DIEGO PACE, LLC
Active
Parent organization
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Other names
San Diego PACE El Cajon, SAN YSIDRO HEALTH EL CAJON/SAN DIEGO 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 AND CEO)
(619) 662-4100
Entity
Organization
Contact information
Practice address
875 EL CAJON BLVD STE 101, EL CAJON, CA 92020-5714
(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
08/30/2024
Last updated
04/29/2026
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