| San Ysidro Health South Bay | |
|
330-340 E. 8th St National City CA 91950-2312 | |
| (619) 662-4100 | |
| Not Available |
| Full Name | San Ysidro Health South Bay |
|---|---|
| Speciality | Clinic/Center |
| Location | 330-340 E. 8th St, National City, California |
| Authorized Official Name and Position | Kevin Mattson (PRESIDENT/CEO) |
| Authorized Official Contact | 6196224100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Ysidro Health South Bay 1601 Precision Park Ln San Diego CA 92173-1345 Ph: (619) 662-4100 | San Ysidro Health South Bay 330-340 E. 8th St National City CA 91950-2312 Ph: (619) 662-4100 |
| NPI Number | 1851757215 |
|---|---|
| Provider Enumeration Date | 01/14/2016 |
| Last Update Date | 11/06/2019 |
| Medicare PECOS PAC ID | 6901709435 |
|---|---|
| Medicare Enrollment ID | O20170420001670 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851757215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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San Ysidro Health National City Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1136 D Avenue, National City, CA 91950 Phone: 619-336-2300 Fax: 619-336-2323 | |
Elena P. Vitug M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Euclid Ave, Suite 201, National City, CA 91950 Phone: 619-475-6204 Fax: 619-475-5174 | |
Marianito D Sevilla Md Inc Apc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2340 E 8th St, Suite D, National City, CA 91950 Phone: 619-470-7007 Fax: 619-470-9379 | |
Arwinnah Bautista Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1430 E Plaza Blvd Ste E18&e19a, National City, CA 91950 Phone: 619-434-2813 Fax: 855-631-3720 | |
La Maestra Community Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Highland Ave Ste A, National City, CA 91950 Phone: 619-434-7308 Fax: 619-434-7310 | |
San Antonio Family Medical Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 36 N Euclid Ave Ste C, National City, CA 91950 Phone: 619-255-2950 Fax: 619-756-6981 |