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Centro De Salud De La Comunidad De San Ysidro Inc

Community/Retail Pharmacy in San Diego, CA · enumerated 2021 · authorized official William Wallace, Vp/Cfo.

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

National Provider Identifier

1205405123

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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 1660 Precision Park Ln, San Diego, CA, 92173
Phone (619) 662-4100
Enumeration date Jun 24, 2021
Last updated in NPPES Jun 24, 2021

Taxonomy & classification

261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Secondary
3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

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

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

Who is the authorized official for Centro De Salud De La Comunidad De San Ysidro Inc?
NPPES lists William Wallace (Vp/Cfo) as the authorized official for this organization.
What is the NPI number for Centro De Salud De La Comunidad De San Ysidro Inc?
The NPI for Centro De Salud De La Comunidad De San Ysidro Inc is 1205405123, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-06-24.