| Centro De Salud De La Comunidad De San Ysidro, Inc. | |
|
1840 West Dr Vista CA 92083-6115 | |
| (619) 662-4100 | |
| Not Available |
| Full Name | Centro De Salud De La Comunidad De San Ysidro, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1840 West Dr, Vista, California |
| Authorized Official Name and Position | William Brian Wallace (VP/CFO) |
| Authorized Official Contact | 6192056339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice 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 Number | 1124793732 |
|---|---|
| Provider Enumeration Date | 08/16/2021 |
| Last Update Date | 08/16/2021 |
| Medicare PECOS PAC ID | 6901709435 |
|---|---|
| Medicare Enrollment ID | O20220824001077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124793732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Richard Colville Smith, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 122 Escondido Ave, Suite 101, Vista, CA 92084 Phone: 760-806-9263 Fax: 760-806-9264 | |
Ross Webster Chiropractic Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 850 East Vista Way, Suite A, Vista, CA 92084 Phone: 760-630-0426 Fax: 760-630-0456 | |
Clancy Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2375 S Melrose Dr, Vista, CA 92081 Phone: 760-305-1900 Fax: 760-305-1910 | |
Cassidy Medical Group - Sw Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2095 W Vista Way Ste 218, Vista, CA 92083 Phone: 760-630-3562 Fax: 760-630-2559 | |
Vista Community Clinic - Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Vale Terrace, Vista, CA 92084 Phone: 760-631-5000 | |
Amir Moradi, M.d., A. Prof. Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2023 W Vista Way Ste F, Vista, CA 92083 Phone: 760-726-6451 Fax: 760-726-4822 |