Centro de Salud de la Comunidad de San Ysidro, Inc.

A Medicare group practice based in San Diego, CA: 42 NPIs enrolled under one PECOS associate control ID (PAC ID 6901709435), with 616 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6901709435The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Also listed as
Centro de Salud de la Comunidad de San Ysidro,Inc.Name in Care Compare
Provider type
DME Supplier - Pharmacy, MDPP Supplier - in-Person MDPP Supplier, Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
CA
Enrollments
33
Group size
291 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
74In 11 places

Enrollment records 33

Enrollment IDStateProvider typeNPI
O20040130000711 CA Part B Supplier - Clinic/Group Practice 1124782685
O20051123000520 CA Part A Provider - Federally Qualified Health Center (FQHC) 1003869363
O20051123000458 CA Part A Provider - Federally Qualified Health Center (FQHC) 1952364747
O20081021000272 CA Part A Provider - Federally Qualified Health Center (FQHC) 1326225632
O20081021000572 CA Part A Provider - Federally Qualified Health Center (FQHC) 1821275132
O20260515002825 CA DME Supplier - Pharmacy 1467536326
O20240102000774 CA Part A Provider - Federally Qualified Health Center (FQHC) 1568182046
O20231201000867 CA Part A Provider - Federally Qualified Health Center (FQHC) 1902587298
O20231207001885 CA Part A Provider - Federally Qualified Health Center (FQHC) 1184135873
O20231116000731 CA Part A Provider - Federally Qualified Health Center (FQHC) 1598492456
O20240514003996 CA Part A Provider - Federally Qualified Health Center (FQHC) 1457033813
O20201201002539 CA Part A Provider - Federally Qualified Health Center (FQHC) 1376195040
O20201028000426 CA Part A Provider - Federally Qualified Health Center (FQHC) 1801438239
O20201027003314 CA Part A Provider - Federally Qualified Health Center (FQHC) 1821625278
O20201117003231 CA Part A Provider - Federally Qualified Health Center (FQHC) 1598308926
O20210309002330 CA Part A Provider - Federally Qualified Health Center (FQHC) 1366053167
O20190904001948 CA Part A Provider - Federally Qualified Health Center (FQHC) 1558852947
O20191023003400 CA MDPP Supplier - in-Person MDPP Supplier 1558852947
O20211116002997 CA Part A Provider - Federally Qualified Health Center (FQHC) 1235804139
O20220824001077 CA Part A Provider - Federally Qualified Health Center (FQHC) 1124793732
O20221201002301 CA Part B Supplier - Pharmacy 1063133015
O20230105000649 CA Part A Provider - Federally Qualified Health Center (FQHC) 1124782685
O20200831002056 CA Part A Provider - Federally Qualified Health Center (FQHC) 1376184911
O20200831001506 CA Part A Provider - Federally Qualified Health Center (FQHC) 1174164719
O20200831002346 CA Part A Provider - Federally Qualified Health Center (FQHC) 1205477841
O20200624001258 CA Part A Provider - Federally Qualified Health Center (FQHC) 1770124315
O20100713000209 CA Part A Provider - Federally Qualified Health Center (FQHC) 1922051812
O20091021000294 CA Part A Provider - Federally Qualified Health Center (FQHC) 1598907487
O20160331002457 CA Part A Provider - Federally Qualified Health Center (FQHC) 1568845741
O20140902001193 CA Part A Provider - Federally Qualified Health Center (FQHC) 1265843122
O20170420001670 CA Part A Provider - Federally Qualified Health Center (FQHC) 1851757215
O20130215000473 CA Part A Provider - Federally Qualified Health Center (FQHC) 1538262092
O20131122000189 CA Part A Provider - Federally Qualified Health Center (FQHC) 1326486861

NPIs in this group 42

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 616

Page 1 of 7

Clinicians who reassign their Medicare benefits to this group (611) or whom Care Compare lists as members (291).

Sources for this page