<unavail> in San Ysidro, CA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in San Ysidro, California. The current practice location for is 4004 Beyer Blvd, San Ysidro, California. For appointments, you can reach them via phone at (619) 662-4100. The mailing address for is 1601 Precision Park Ln, San Diego, California and phone number is (619) 662-4100.

is licensed to practice in California (license number 090000140). The clinic also participates in the medicare program and its NPI number is 1952364747. 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


	4004 Beyer Blvd San Ysidro CA 92173-2007
	(619) 662-4100
	(619) 205-6373

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	4004 Beyer Blvd, San Ysidro, California
Authorized Official Name and Position	Kevin Mattson (PRESIDENT AND CEO)
Authorized Official Contact	6196624100
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1601 Precision Park Ln San Diego CA 92173-1345 Ph: (619) 662-4100	4004 Beyer Blvd San Ysidro CA 92173-2007 Ph: (619) 662-4100

NPI Details:

NPI Number	1952364747
Provider Enumeration Date	04/11/2006
Last Update Date	05/08/2019

Medicare PECOS Information:

Medicare PECOS PAC ID	6901709435
Medicare Enrollment ID	O20051123000458

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952364747	NPI	-	NPPES
FHC18880F	Other	CA	MEDICAL
W5740	Other		MEDICARE PTAN PART B

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	090000140 (California)	Primary

Reviews and Comments

Clinic/Center in San Ysidro, CA

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-205-6331 Fax: 619-428-7952
Healthcare Providers Of California Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 342 W San Ysidro Blvd, #f, San Ysidro, CA 92173 Phone: 619-662-3880 Fax: 619-662-2942
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 Fax: 619-428-7952
Centro De Salud De La Comunidad De San Ysidro, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100
Centro De Salud De La Comunidad De San Ysidro, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3364 Beyer Blvd, Suite #102 & #103, San Ysidro, CA 92173 Phone: 619-662-4100 Fax: 619-600-4867
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 Fax: 619-205-6373

- Medicare Primary Care in San Ysidro, CA