Centro de Salud de la Comunidad de San Ysidro,Inc.
Organization Active NPI Urgent Care Clinic/Center · Chula Vista, CA
NPI 1184801433 · NPPES record last updated May 6, 2014
Key facts
- NPI
- 1184801433
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- License
- 550000782 (CA)
- Legal business name
- CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO,INC.
- Practice address
- 340 4TH Ave Ste 6&7
Chula Vista, CA 91910-3813 - Phone
- (619) 662-4100
- Fax
- (619) 428-7952
- NPI assigned
- Jan 29, 2008
- Organization subpart
- No
Authorized official
- Name
- Gilbert Fimbres
- Title
- Cfo
- Phone
- (619) 205-6331
Other NPIs on the same Medicare enrollment 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040130000711 | CA | Part B Supplier - Clinic/Group Practice | 6901709435 |
Receives reassigned benefits from 611 practitioners 41 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: National City, CA; San Diego, CA; San Ysidro, CA; Santee, CA; Vista, CA; Alpine, CA; Campo, CA; Chula Vista, CA… |
National Provider Directory
Locations
340 Fourth Ave
Ste 67
Chula Vista, CA 91910
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | 550000782 | CA | Yes |
Addresses
Primary practice location
340 4TH Ave Ste 6&7
Chula Vista, CA 91910-3813
Mailing address
1275 30TH St
San Diego, CA 92154-3476
Phone (619) 662-4100
Other names
- South Bay Family Health Center
Other providers in Chula Vista, CA
- Centro de Salud de la Comunidad de San Ysidro, Inc.
- Centro de Salud de la Comunidad de San Ysidro, Inc.
- Centro de Salud de la Comunidad de San Ysidro, Inc.
- Centro de Salud de la Comunidad de San Ysidro, Inc.
- Centro de Salud de la Comunidad de San Ysidro, Inc.
- Centro de Salud de la Comunidad de San Ysidro,Inc.
- Centro de Salud de la Comunidad de San Ysidro,Inc.
- Cep America - California
- Cep America - Neurology PC
- Cepin Imaging Center
All providers in Chula Vista, CA · Urgent Care Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.