San Ysidro Health El Cajon/San Diego Pace
LBN: Centro De Salud De La Comunidad De San Ysidro, Inc.
San Ysidro Health El Cajon/San Diego Pace is an health care organization with primary practice located at 875 El Cajon Blvd , El Cajon CA 92020-5714. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
Centro De Salud De La Comunidad De San Ysidro, Inc. can be contacted via phone (619) 662-4100, or through Mattson, Kevin via phone (619) 662-4100.
Contact Information
Primary practice address
875 El Cajon Blvd
El Cajon CA 92020-5714
Phone: (619) 662-4100
Fax: (619) 205-6373
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1568845741 |
|---|---|
| LBN Legal business name | Centro De Salud De La Comunidad De San Ysidro, Inc. |
| DBA Doing business as | San Ysidro Health El Cajon/San Diego Pace |
| Authorized official | Mattson, Kevin |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 7th, 2015 |
| Last updated | Dec 30th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568845741 | NPPES |
| California | Other | W5740 | PART B PTAN |
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