NPIMap

Organization Active NPI

San Diego Pace, LLC

Doing business as San Diego PACE National City

  • PACE Provider Organization
  • National City, CA
National Provider Identifier
1972464931
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
SAN DIEGO PACE, LLC
Doing business as
San Diego PACE National City
Practice address
601 E 14TH St Ste 101
National City, CA 91950-4629
Phone
(619) 662-4100
NPI assigned
Nov 19, 2025
Last updated
Nov 19, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kevin Mattson
Title
President/Ceo
Phone
(619) 662-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X Primary

Addresses

Primary practice location

601 E 14TH St Ste 101
National City, CA 91950-4629

Mailing address

8080 Dagget St
San Diego, CA 92111-2333

Other names 1

  • San Diego PACE National City Doing business as

National Provider Directory

National Provider Directory
Tax ID family
San Diego Pace LLC5 organizations share this tax ID, including this one
Part of
Chula Vista Family

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

601 E 14th St
#101
National City, CA 91950

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1972464931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 DAGGET ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 14TH ST STE 101",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919504629",
            "telephone_number": "619-662-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO PACE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "MATTSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "619-662-4100"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Diego PACE National City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.