Centro de Salud de la Comunidad de San Ysidro, Inc.
NPI 1871430967ActiveOrganization· PACE Provider Organization· National City, CA
PACE Provider Organization in National City, California, registered in NPPES in April 2026, part of Centro de Salud de la Comunidad de San Ysidro, Inc. The authorized official on file is William Brian Wallace, Vp/Cfo.
Overview
| NPI | 1871430967 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Centro de Salud de la Comunidad de San Ysidro, Inc. |
| NPI issued | Apr 29, 2026 |
| Last updated in NPPES | Apr 29, 2026 |
| Certified by provider | Apr 29, 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 National City
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