NPI 1124793732

Centro de Salud de La Comunidad de San Ysidro, INC.

Organisation PACE Provider Organization Vista, CA

Practice location

Address: 1840 West Dr, Vista, CA 92083-6115
Phone: (619) 662-4100
Mailing address: 8080 Dagget St, San Diego, CA 92111-2333

Authorised official

Name: Kevin Mattson
Title: President/Ceo
Phone: (619) 662-4100

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

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Registry record

NPI: 1124793732
Entity type: Organization
NPI issued: 16 Aug 2021
Record last updated: 27 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.

Contact

(619) 662-4100 Open in maps

This is the number in the registry. Confirm before relying on it - practices move.

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