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

NPI: 1174164719

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

Q: What is Centro De Salud De La Comunidad De San Ysidro, Inc.'s provider type?

Centro De Salud De La Comunidad De San Ysidro, Inc. is an Organization under CMS NPI Type 2.

ActiveOrganizationSpecialty not listed

NPI issued: October 4, 2019

Quick Facts

NPI Number

1174164719

TypeOrganization

StatusActive

SpecialtySpecialty not listed

Taxonomy261QF0400X — Specialty not listed

Phone

(619) 662-4100

StateCA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1174164719)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (October 4, 2019)

Data source: CMS NPPES

Provider Overview

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC. is a Healthcare provider based in Campo, CA who has been registered with CMS since 2019. They are affiliated with San Ysidro Health Mountain Health Family Medicine and San Ysidro Health Mountain Health Family Medicine. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1174164719

Provider TypeOrganization

StatusActive

Enumeration DateOctober 4, 2019

Practice Location

CityCampo

StateCA

ZIP Code91906-2028

Phone(619) 662-4100

Specialties & Licenses

★ Primary

SpecialtySpecialty not listed

Taxonomy Code261QF0400X

License StateCA

Mailing Address

CityCampo

StateCA

ZIP Code91906-2028

Phone(619) 662-4100

Same as practice location

Hospital & Organization Affiliations

🏢

San Ysidro Health Mountain Health Family Medicine

📍 ,

🏢

San Ysidro Health Mountain Health Family Medicine

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How to Use This NPI

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For Insurance Billing

Use NPI 1174164719 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1174164719for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1174164719 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

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