Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Centro De Salud De La Comunidad De San Ysidro Inc

Organization Federally Qualified Health Center (FQHC) · NPI 1063133015

Centro De Salud De La Comunidad De San Ysidro Inc is a Federally Qualified Health Center (FQHC) in Campo, California. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1388 Buckman Springs Rd
Campo, CA 91906-2028
Phone: (619) 662-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X
Federally Qualified Health Center (FQHC) Taxonomy 261QF0400X

Record details

NPI number1063133015
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Mattson — President & Ceo · (619) 662-4100
Other names San Ysidro Health Pharmacy Mountain Health; San Ysidro Health Pharmacy Mountain Health
NPI enumeratedSeptember 8, 2022
Last updated in NPPESSeptember 23, 2022
Certification dateSeptember 23, 2022
Mailing address1601 Precision Park Ln, San Diego, CA 92173-1345

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