San Diego Pace, LLC
NPI 1972464931ActiveOrganization· PACE Provider Organization· National City, CA
PACE Provider Organization in National City, California, registered in NPPES in November 2025, part of Centro de Salud de la Comunidad de San Ysidro, Inc. The authorized official on file is Kevin Mattson, President/Ceo.
Overview
| NPI | 1972464931 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Centro de Salud de la Comunidad de San Ysidro, Inc. |
| NPI issued | Nov 19, 2025 |
| Last updated in NPPES | Nov 19, 2025 |
| Certified by provider | Nov 19, 2025 |
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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