Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Centro De Salud De La Comunidad De San Ysidro, Inc

Organization Federally Qualified Health Center (FQHC) · NPI 1720950975

Centro De Salud De La Comunidad De San Ysidro, Inc is a Federally Qualified Health Center (FQHC) in Chula Vista, California. Registered with an NPI since 2025.

In the registry since
2025
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

480 Fourth Ave Ste 507
Chula Vista, CA 91910-4414
Phone: (619) 662-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X

Record details

NPI number1720950975
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Wallace — Vp/Cfo · (619) 662-4100
Other names San Ysidro Health Specialty Care
NPI enumeratedSeptember 18, 2025
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025
Mailing address1601 Precision Park Ln, San Diego, CA 92173-1345

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