SAN YSIDRO HEALTH SAN YSIDRO HEALTH CENTER
NPI 1952364747
Clinic/Center - Federally Qualified Health Center (FQHC) in San Ysidro, CA

NPI Status: Active since April 11, 2006

Contact Information

4004 BEYER BLVD
SAN YSIDRO, CA
ZIP 92173
Phone: (619) 662-4100
Fax: (619) 205-6373

Get Directions Reviews

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

About SAN YSIDRO HEALTH SAN YSIDRO HEALTH CENTER

This page provides the complete NPI Profile along with additional information for San Ysidro Health San Ysidro Health Center, 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 1952364747 assigned on April 2006. The practitioner's primary taxonomy code is 261QF0400X with license number 090000140 (CA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as San Ysidro Health San Ysidro Health Center. The authorized official of this NPI record is Kevin Mattson (President And Ceo)

NPI
1952364747
Provider Legal Name
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Other Organization Name
SAN YSIDRO HEALTH SAN YSIDRO HEALTH CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4004 BEYER BLVD SAN YSIDRO, CA 92173
Location Phone
(619) 662-4100
Location Fax
(619) 205-6373
Mailing Address
1601 PRECISION PARK LN SAN DIEGO, CA 92173
Mailing Phone
(619) 662-4100
Mailing Fax
(619) 205-6373
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-11-2006
Last Update Date
05-08-2019
Code Navigator

A primary care provider (PCP) like San Ysidro Health San Ysidro Health Center 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
License No.
090000140
License State
CA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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 AND CEO
Authorized Official Phone
(619) 662-4100

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
FHC18880FOTHER (01)CAMEDICAL
W5740OTHER (01)MEDICARE PTAN PART B

Reviews for SAN YSIDRO HEALTH SAN YSIDRO HEALTH CENTER

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1952364747
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2910266878
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 0 + 2 + 6 + 6 + 8 + 7 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1952364747 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114929841 TERRENCE MCCARTHY RPH
Individual
Pharmacist4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 662-4151
1992777882DR. ELENA MARIA BAUTISTA SACAMAY MD
Individual
Internal Medicine4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 428-4463
1982617494DR. EDWARD M GOLDSTEIN MD
Individual
Obstetrics & Gynecology4004 BEYER BLVD
SAN YSIDRO, CA 92173
(319) 428-4463
1578576070 NANCY E MARTINEZ NMW
Individual
Midwife4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 428-4463
1982617403DR. RAMON SY MD
Individual
Internal Medicine4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 428-4463
1518970037DR. ANDREA M HERMAN MD
Individual
Pediatrics4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 428-4463
1053324541DR. PATRICIA A GOMEZ-NARANJO MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 428-4463
1780697276DR. TIMOTHY D SAHMS MD
Individual
Pediatrics4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 428-4463
1417960915DR. JESUS SANCHEZ MD
Individual
Psychiatry & Neurology (Psychiatry)4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 428-4463
1235142738DR. JEFFERSON C HENDRIX MD
Individual
Family Medicine4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 428-4463
1740394386DR. BERENICE IBANEZ PH.D.
Individual
Psychologist4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 428-5561
1720181829DR. JAMES E CEVALLOS MD
Individual
Family Medicine4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 428-4463
1811090384DR. LUCELLY CAMPOS DDS
Individual
Dentist4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 428-4463
1720181290DR. SERGIO CUEVAS DDS
Individual
Dentist4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 428-4463
1225131790DR. GUILLERMO SHIROMA DDS
Individual
Dentist4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 428-4463
1073610960 JAY DOWNEY M.D.
Individual
Family Medicine4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 424-4463
1558445411 ELVIA L CHARLES PA
Individual
Physician Assistant4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 428-4463
1083792311 AMI A CHOI PA
Individual
Physician Assistant (Medical)4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 428-4463
1740337161DR. GREGORY A TALAVERA M.D.
Individual
Family Medicine4004 BEYER BLVD
SAN YSIDRO, CA 92173
(619) 428-4463
1124176102 MICHELE A. LAMANTIA MD
Individual
Internal Medicine4004 BEYER BLVD SAN YSIDRO HEALTH CENTER
SAN YSIDRO, CA 92173
(619) 917-7122

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952364747, enumerated in the NPI registry as an "organization" on April 11, 2006

The provider is located at 4004 Beyer Blvd 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)

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 11, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.