| San Ysidro Health Euclid | |
|
286 Euclid Ave Suite #302 San Diego CA 92114-3616 | |
| (619) 662-4100 | |
| (619) 428-7952 |
| Full Name | San Ysidro Health Euclid |
|---|---|
| Speciality | Clinic/Center |
| Location | 286 Euclid Ave, San Diego, California |
| Authorized Official Name and Position | Kevin Mattson (PRESIDENT/CEO) |
| Authorized Official Contact | 6192054100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Ysidro Health Euclid 1601 Precision Park Ln San Diego CA 92173-1345 Ph: (619) 662-4100 | San Ysidro Health Euclid 286 Euclid Ave Suite #302 San Diego CA 92114-3616 Ph: (619) 662-4100 |
| NPI Number | 1821275132 |
|---|---|
| Provider Enumeration Date | 01/29/2008 |
| Last Update Date | 11/06/2019 |
| Medicare PECOS PAC ID | 6901709435 |
|---|---|
| Medicare Enrollment ID | O20081021000572 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821275132 | NPI | - | NPPES |
| W5740 | Other | CA | MEDICARE PART B PTAN# |
| FHC70797F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 090000622 (California) | Primary |
Revivify Restorative Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16445 Bernardo Center Dr, San Diego, CA 92128 Phone: 858-429-0099 Fax: 858-676-1172 | |
Nucleus Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4570 Executive Dr Ste 100, San Diego, CA 92121 Phone: 844-838-3322 | |
Moden Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8901 Activity Rd Ste 205, San Diego, CA 92126 Phone: 888-822-1184 Fax: 888-877-3676 | |
Presidio Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4440 Lamont St, San Diego, CA 92109 Phone: 858-270-7633 Fax: 858-270-7692 | |
Michael L Butera Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6699 Alvarado Rd Ste 2309, San Diego, CA 92120 Phone: 619-286-8803 Fax: 619-286-2344 | |
San Diego Digestive Disease Consultants, Inc. A Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8008 Frost St, Ste 200, San Diego, CA 92123 Phone: 858-292-7527 Fax: 858-292-7804 | |
Munoz Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7345 Linda Vista Rd, Suite A, San Diego, CA 92111 Phone: 858-565-2150 Fax: 858-565-2570 |