SAN YSIDRO HEALTH WELLNESS CLINIC
NPI 1902587298
Clinic/Center - Federally Qualified Health Center (FQHC) in Chula Vista, CA

NPI Status: Active since July 28, 2023

Contact Information

855 3RD AVE STE 2200
CHULA VISTA, CA
ZIP 91911
Phone: (619) 662-4100

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

About SAN YSIDRO HEALTH WELLNESS CLINIC

This page provides the complete NPI Profile along with additional information for San Ysidro Health Wellness Clinic, a primary care provider established in Chula Vista, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1902587298 assigned on July 2023. 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 Wellness Clinic. The authorized official of this NPI record is Kevin Mattson (President/ceo)

NPI
1902587298
Provider Legal Name
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC
Other Organization Name
SAN YSIDRO HEALTH WELLNESS CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
855 3RD AVE STE 2200 CHULA VISTA, CA 91911
Location Phone
(619) 662-4100
Mailing Address
1601 PRECISION PARK LN SAN DIEGO, CA 92173
Mailing Phone
(619) 662-4100
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-28-2023
Last Update Date
01-11-2024
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A primary care provider (PCP) like San Ysidro Health Wellness Clinic 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 .

Location Map

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

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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.
1902587298
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
290210814218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 0 + 2 + 1 + 0 + 8 + 1 + 4 + 2 + 1 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1902587298 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942226030 WILLY J RIOS-ARAICO M.D.
Individual
Pediatrics (Adolescent Medicine)855 3RD AVE STE 2200
CHULA VISTA, CA 91911
(619) 426-0100
1508904657 SIMIN M GHAHREMANI M.D.
Individual
Pediatrics (Adolescent Medicine)855 3RD AVE STE 2200
CHULA VISTA, CA 91911
(619) 426-0100
1285839985 JULIE ALISON BERGMAN N.P.
Individual
Pediatrics (Adolescent Medicine)855 3RD AVE STE 2200
CHULA VISTA, CA 91911
(619) 426-0100
1396086674DR. WILLY J RIOS-ARAICO,MD, PC
Organization
Pediatrics (Adolescent Medicine)855 3RD AVE STE 2200
CHULA VISTA, CA 91911
(619) 426-0100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902587298, enumerated in the NPI registry as an "organization" on July 28, 2023

The provider is located at 855 3rd Ave Ste 2200 Chula Vista, Ca 91911 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 July 28, 2023. 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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