| Centro De Salud De La Comunidad De San Ysidro, Inc. | |
|
1620 Alpine Blvd Ste 110 Alpine CA 91901-1103 | |
| (619) 662-4100 | |
| Not Available |
| Full Name | Centro De Salud De La Comunidad De San Ysidro, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1620 Alpine Blvd Ste 110, Alpine, California |
| Authorized Official Name and Position | Kevin Mattson (PRESIDENT/CEO) |
| Authorized Official Contact | 6196624100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro De Salud De La Comunidad De San Ysidro, Inc. 1601 Precision Park Ln San Diego CA 92173-1345 Ph: (619) 662-4100 | Centro De Salud De La Comunidad De San Ysidro, Inc. 1620 Alpine Blvd Ste 110 Alpine CA 91901-1103 Ph: (619) 662-4100 |
| NPI Number | 1770124315 |
|---|---|
| Provider Enumeration Date | 10/04/2019 |
| Last Update Date | 11/06/2019 |
| Medicare PECOS PAC ID | 6901709435 |
|---|---|
| Medicare Enrollment ID | O20200624001258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770124315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mountain Health & Community Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1620 Alpine Blvd Ste 110, Alpine, CA 91901 Phone: 619-445-6200 Fax: 619-320-3343 | |
Southern Indian Health Council Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4058 Willows Rd, Alpine, CA 91901 Phone: 619-445-1188 Fax: 619-659-3140 | |
Mary Gessner-peterson Medical Group, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1730 Alpine Blvd Ste 205, Alpine, CA 91901 Phone: 619-326-4445 Fax: 619-722-1721 | |
A J Klein Md A Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3897 Via Palo Verde Lago, Alpine, CA 91901 Phone: 619-659-9555 Fax: 619-659-9666 | |
Elite Hospital Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1347 Tavern Rd., Ste. 18-244, Alpine, CA 91901 Phone: 619-985-0532 | |
Centro De Salud De La Comunidad De San Ysidro,inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2733 Alpine Blvd Ste 200, Alpine, CA 91901 Phone: 619-662-4100 |