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Centro De Salud De La Comunidad De San Ysidro, Inc.

Adolescent and Children Mental Health Clinic/Center in San Diego, CA · enumerated 2007 · authorized official Brian Wallace, Vp/Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013119569

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Registry record

Entity type Organization (Type 2)
Legal business name Centro De Salud De La Comunidad De San Ysidro, Inc.
Other name <Unavail>
Practice address 1666 Precision Park Ln, San Diego, CA, 92173
Phone (619) 428-1330
Fax (619) 482-7952
Enumeration date Jun 5, 2007
Last updated in NPPES Jun 3, 2022

Taxonomy & classification

261QM0855X Adolescent and Children Mental Health Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Brian Wallace
Title Vp/Cfo
Phone (619) 662-4100

Other identifiers

Identifier Type State Issuer
FHC18880F Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-06-03. Verify at npiregistry.cms.hhs.gov.
Where is Centro De Salud De La Comunidad De San Ysidro, Inc. located?
The practice location on file with NPPES is in San Diego, CA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-06-03.