San Diego Pace, LLC
NPI 1548181043ActiveOrganization· PACE Provider Organization· Vista, CA
PACE Provider Organization in Vista, California, registered in NPPES in July 2026, part of Centro de Salud de la Comunidad de San Ysidro, Inc. The authorized official on file is Kevin Mattson, President And Ceo.
Overview
| NPI | 1548181043 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Centro de Salud de la Comunidad de San Ysidro, Inc. |
| NPI issued | Jul 22, 2026 |
| Last updated in NPPES | Jul 22, 2026 |
| Certified by provider | Jul 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| PACE Provider Organization Primary | 251T00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other PACE Provider Organization providers in Vista
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