SAN YSIDRO HEALTH SAN DIEGO PACE/SENIOR HEALTH SERVICES
NPI 1265843122
Clinic/Center - Federally Qualified Health Center (FQHC) in San Ysidro, CA

NPI Status: Active since May 14, 2014

Contact Information

3364 BEYER BLVD
SUITE #102 & #103
SAN YSIDRO, CA
ZIP 92173
Phone: (619) 662-4100
Fax: (619) 600-4867

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)

About SAN YSIDRO HEALTH SAN DIEGO PACE/SENIOR HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for San Ysidro Health San Diego Pace/senior Health Services, a primary care provider established in San Ysidro, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1265843122 assigned on May 2014. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as San Ysidro Health San Diego Pace/senior Health Services. The authorized official of this NPI record is Kevin Mattson (President/ceo)

NPI
1265843122
Provider Legal Name
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Other Organization Name
SAN YSIDRO HEALTH SAN DIEGO PACE/SENIOR HEALTH SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3364 BEYER BLVD SUITE #102 & #103 SAN YSIDRO, CA 92173
Location Phone
(619) 662-4100
Location Fax
(619) 600-4867
Mailing Address
1601 PRECISION PARK LN SAN DIEGO, CA 92173
Mailing Phone
(619) 662-4100
Mailing Fax
(619) 600-4867
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-14-2014
Last Update Date
06-05-2023
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A primary care provider (PCP) like San Ysidro Health San Diego Pace/senior Health Services sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KEVIN MATTSON

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(619) 662-4100

Reviews for SAN YSIDRO HEALTH SAN DIEGO PACE/SENIOR HEALTH SERVICES

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1265843122
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22125164614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 1 + 6 + 4 + 6 + 1 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1265843122 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265045991 BALWINDER K SHUKLA
Individual
Nurse Practitioner (Family)3364 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 205-4585
1003404062 NICOLE RENTERIA RN
Individual
Registered Nurse3364 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 662-4100
1508174970DR. GILBERTO E ZAYAS M.D
Individual
Psychiatry & Neurology (Psychiatry)3364 BEYER BLVD
SAN DIEGO, CA 92173
(619) 662-4100
1477206779 MEL DANDAN OTA
Individual
Occupational Therapy Assistant3364 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 205-4585
1316677818 WILBUR ADRIAN DIENTE BARSANA
Individual
Physical Therapy Assistant3364 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 205-4585
1154040418 EKATERINA CHAUSSE CASTRO NP
Individual
Nurse Practitioner (Family)3364 BEYER BLVD
SAN DIEGO, CA 92173
(619) 205-4585
1457089187 SKYLAR CLARK DPT
Individual
Physical Therapist3364 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 205-4585
1134147457 MARYLUPE FLORES LCSW
Individual
Social Worker (Clinical)3364 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 205-4585
1548983885 DIANA WONG
Individual
Occupational Therapist3364 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 662-4100
1316617756 CONNIE FU MA
Individual
Pharmacist3364 BEYER BLVD
SAN DIEGO, CA 92173
(619) 205-4585
1558058636 MARGARITA ARVIZU
Individual
Nurse Practitioner (Psychiatric/Mental Health)3364 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 205-4585
1588363683 MARIA DEL ROSARIO HANNEGAN COTA
Individual
Occupational Therapy Assistant3364 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 205-4585
1659598688DR. CHITRA FERNANDO M.D.
Individual
Internal Medicine (Geriatric Medicine)3364 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 662-4100
1336923580MRS. ZULEIKA ABADIANO HAW OTR
Individual
Occupational Therapist3364 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 205-4585
1437130937MS. AURELIA ALLEN NURSE PRACTITIONER
Individual
Nurse Practitioner3364 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 205-4585
1497643183 JAYSON WAYNE PAUL STILWELL NURSE PRACTITIONER
Individual
Registered Nurse (Gerontology)3364 BEYER BLVD
SAN YSIDRO, CA 92173
(203) 675-6704
1619868148 WAYNE BON WONG
Individual
Physical Therapist3364 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 205-4585

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265843122, enumerated in the NPI registry as an "organization" on May 14, 2014

The provider is located at 3364 Beyer Blvd Suite #102 & #103 San Ysidro, Ca 92173 and the phone number is (619) 662-4100

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

This NPI record was last updated on May 14, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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