Centro De Salud De La Comunidad De San Ysidro, Inc. - Medicare Primary Care in Vista, CA

Centro De Salud De La Comunidad De San Ysidro, Inc. is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Vista, California. The current practice location for Centro De Salud De La Comunidad De San Ysidro, Inc. is 1840 West Dr, Vista, California. For appointments, you can reach them via phone at (619) 662-4100. The mailing address for Centro De Salud De La Comunidad De San Ysidro, Inc. is 1601 Precision Park Ln, San Diego, California and phone number is (619) 662-4100.

Centro De Salud De La Comunidad De San Ysidro, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1124793732. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (619) 662-4100.

Contact Information

Centro De Salud De La Comunidad De San Ysidro, Inc.
1840 West Dr
Vista
CA 92083-6115
(619) 662-4100
Not Available

Primary Care Clinic Profile

Full NameCentro De Salud De La Comunidad De San Ysidro, Inc.
SpecialityClinic/Center
Location1840 West Dr, Vista, California
Authorized Official Name and PositionWilliam Brian Wallace (VP/CFO)
Authorized Official Contact6192056339
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice 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.
1840 West Dr
Vista
CA 92083-6115

Ph: (619) 662-4100

NPI Details:

NPI Number1124793732
Provider Enumeration Date08/16/2021
Last Update Date08/16/2021

Medicare PECOS Information:

Medicare PECOS PAC ID6901709435
Medicare Enrollment IDO20220824001077

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Medical Identifiers

Medical identifiers for Centro De Salud De La Comunidad De San Ysidro, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124793732NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

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