CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.

Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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Contact Information

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.

601 EAST 14TH STREET
SUITE 201
NATIONAL CITY, CA 91950

Phone: 619-662-4100
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.

NPI #	`1396627865`
LBN Legal business name	CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Authorized official	WILLIAM WALLACE - (VP/CFO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/24/2025
Last updated	10/06/2025 - About 8 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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