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1295228328 NPI number — CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC

NPI Number: 1295228328
Health Care Provider/Practitioner: CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC

Information about “1295228328” NPI (CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC) exists in 1295228328 in HTML format HTML  |  1295228328 in plain Text format TXT  |  1295228328 in PDF (Portable Document Format) PDF  |  1295228328 in an JSON format JSON  formats.

NPI Number : 1295228328 – XML Data Format 

                    
<?xml version="1.0" encoding="UTF-8"?>
<Npi>
	<NPI>
		1295228328
	</NPI>
	<EntityType>
		Organization
	</EntityType>
	<ReplacementNPI/>
	<EIN/>
	<IsSoleProprietor/>
	<IsOrgSubpart>
		N
	</IsOrgSubpart>
	<ParentOrgLBN/>
	<ParentOrgTIN/>
	<OrgName>
		CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC
	</OrgName>
	<LastName/>
	<FirstName/>
	<MiddleName/>
	<NamePrefix/>
	<NameSuffix/>
	<Credential/>
	<OtherOrgName/>
	<OtherOrgNameTypeCode>
		6
	</OtherOrgNameTypeCode>
	<OtherLastName/>
	<OtherFirstName/>
	<OtherMiddleName/>
	<OtherNamePrefix/>
	<OtherNameSuffix/>
	<OtherCredential/>
	<OtherLastNameTypeCode/>
	<FirstLineMailingAddress>
		1601 PRECISION PARK LN
	</FirstLineMailingAddress>
	<SecondLineMailingAddress/>
	<MailingAddressCityName>
		SAN DIEGO
	</MailingAddressCityName>
	<MailingAddressStateName>
		CA
	</MailingAddressStateName>
	<MailingAddressPostalCode>
		92173-1345
	</MailingAddressPostalCode>
	<MailingAddressCountryCode>
		US
	</MailingAddressCountryCode>
	<MailingAddressTelephoneNumber>
		619-662-4100
	</MailingAddressTelephoneNumber>
	<MailingAddressFaxNumber/>
	<FirstLinePracticeLocationAddress>
		880 THIRD AVE STE A
	</FirstLinePracticeLocationAddress>
	<SecondLinePracticeLocationAddress/>
	<PracticeLocationAddressCityName>
		CHULA VISTA
	</PracticeLocationAddressCityName>
	<PracticeLocationAddressStateName>
		CA
	</PracticeLocationAddressStateName>
	<PracticeLocationAddressPostalCode>
		91911
	</PracticeLocationAddressPostalCode>
	<PracticeLocationAddressCountryCode>
		US
	</PracticeLocationAddressCountryCode>
	<PracticeLocationAddressTelephoneNumber>
		619-662-4100
	</PracticeLocationAddressTelephoneNumber>
	<PracticeLocationAddressFaxNumber/>
	<EnumerationDate>
		06/13/2018
	</EnumerationDate>
	<LastUpdateDate>
		11/06/2019
	</LastUpdateDate>
	<NPIDeactivationReasonCode/>
	<NPIDeactivationReason/>
	<NPIDeactivationDate/>
	<NPIReactivationDate/>
	<GenderCode/>
	<Gender/>
	<AuthorizedOfficialLastName>
		MATTSON
	</AuthorizedOfficialLastName>
	<AuthorizedOfficialFirstName>
		KEVIN
	</AuthorizedOfficialFirstName>
	<AuthorizedOfficialMiddleName/>
	<AuthorizedOfficialTitle>
		PRESIDENT/CEO
	</AuthorizedOfficialTitle>
	<AuthorizedOfficialNamePrefix/>
	<AuthorizedOfficialNameSuffix/>
	<AuthorizedOfficialCredential/>
	<AuthorizedOfficialTelephoneNumber>
		619-662-4100
	</AuthorizedOfficialTelephoneNumber>
	<Taxonomies>
		<Taxonomy>
			<TaxonomyCode>
				261QF0400X
			</TaxonomyCode>
			<TaxonomyName>
				Federally Qualified Health Center (FQHC)
			</TaxonomyName>
			<LicenseNumber/>
			<LicenseNumberStateCode/>
			<PrimaryTaxonomySwitch>
				Y
			</PrimaryTaxonomySwitch>
		</Taxonomy>
	</Taxonomies>
	<HealthcareProviderTaxonomyGroups/>
</Npi>

NPI Number XSD (XML Schema Definition)

                
<?xml version="1.0" encoding="UTF-8"?>
   <xs:schema xmlns:xs="http://www.w3.org/2001/XMLSchema" elementFormDefault="qualified" attributeFormDefault="unqualified">
         <xs:element name="Npi">
               <xs:complexType>
                     <xs:sequence>
                           <xs:element name="NPI" type="xs:int"></xs:element>
                           <xs:element name="EntityType" type="xs:string"></xs:element>
                           <xs:element name="ReplacementNPI"></xs:element>
                           <xs:element name="EIN"></xs:element>
                           <xs:element name="IsSoleProprietor" type="xs:string"></xs:element>
                           <xs:element name="IsOrgSubpart"></xs:element>
                           <xs:element name="ParentOrgLBN"></xs:element>
                           <xs:element name="ParentOrgTIN"></xs:element>
                           <xs:element name="OrgName"></xs:element>
                           <xs:element name="LastName" type="xs:string"></xs:element>
                           <xs:element name="FirstName" type="xs:string"></xs:element>
                           <xs:element name="MiddleName"></xs:element>
                           <xs:element name="NamePrefix" type="xs:string"></xs:element>
                           <xs:element name="NameSuffix"></xs:element>
                           <xs:element name="Credential" type="xs:string"></xs:element>
                           <xs:element name="OtherOrgName"></xs:element>
                           <xs:element name="OtherOrgNameTypeCode"></xs:element>
                           <xs:element name="OtherLastName"></xs:element>
                           <xs:element name="OtherFirstName"></xs:element>
                           <xs:element name="OtherMiddleName"></xs:element>
                           <xs:element name="OtherNamePrefix"></xs:element>
                           <xs:element name="OtherNameSuffix"></xs:element>
                           <xs:element name="OtherCredential"></xs:element>
                           <xs:element name="OtherLastNameTypeCode"></xs:element>
                           <xs:element name="FirstLineMailingAddress" type="xs:string"></xs:element>
                           <xs:element name="SecondLineMailingAddress"></xs:element>
                           <xs:element name="MailingAddressCityName" type="xs:string"></xs:element>
                           <xs:element name="MailingAddressStateName" type="xs:string"></xs:element>
                           <xs:element name="MailingAddressPostalCode" type="xs:string"></xs:element>
                           <xs:element name="MailingAddressCountryCode" type="xs:string"></xs:element>
                           <xs:element name="MailingAddressTelephoneNumber" type="xs:string"></xs:element>
                           <xs:element name="MailingAddressFaxNumber"></xs:element>
                           <xs:element name="FirstLinePracticeLocationAddress" type="xs:string"></xs:element>
                           <xs:element name="SecondLinePracticeLocationAddress" type="xs:string"></xs:element>
                           <xs:element name="PracticeLocationAddressCityName" type="xs:string"></xs:element>
                           <xs:element name="PracticeLocationAddressStateName" type="xs:string"></xs:element>
                           <xs:element name="PracticeLocationAddressPostalCode" type="xs:string"></xs:element>
                           <xs:element name="PracticeLocationAddressCountryCode" type="xs:string"></xs:element>
                           <xs:element name="PracticeLocationAddressTelephoneNumber" type="xs:string"></xs:element>
                           <xs:element name="PracticeLocationAddressFaxNumber"></xs:element>
                           <xs:element name="EnumerationDate" type="xs:string"></xs:element>
                           <xs:element name="LastUpdateDate" type="xs:string"></xs:element>
                           <xs:element name="NPIDeactivationReasonCode"></xs:element>
                           <xs:element name="NPIDeactivationReason"></xs:element>
                           <xs:element name="NPIDeactivationDate"></xs:element>
                           <xs:element name="NPIReactivationDate"></xs:element>
                           <xs:element name="GenderCode" type="xs:string"></xs:element>
                           <xs:element name="Gender" type="xs:string"></xs:element>
                           <xs:element name="AuthorizedOfficialLastName"></xs:element>
                           <xs:element name="AuthorizedOfficialFirstName"></xs:element>
                           <xs:element name="AuthorizedOfficialMiddleName"></xs:element>
                           <xs:element name="AuthorizedOfficialTitle"></xs:element>
                           <xs:element name="AuthorizedOfficialNamePrefix"></xs:element>
                           <xs:element name="AuthorizedOfficialNameSuffix"></xs:element>
                           <xs:element name="AuthorizedOfficialCredential"></xs:element>
                           <xs:element name="AuthorizedOfficialTelephoneNumber"></xs:element>
                           <xs:element name="Taxonomies">
                                 <xs:complexType>
                                       <xs:sequence>
                                             <xs:element name="Taxonomy" maxOccurs="unbounded">
                                                   <xs:complexType>
                                                         <xs:sequence>
                                                               <xs:element name="TaxonomyCode" type="xs:string"></xs:element>
                                                               <xs:element name="TaxonomyName" type="xs:string"></xs:element>
                                                               <xs:element name="LicenseNumber" type="xs:string"></xs:element>
                                                               <xs:element name="LicenseNumberStateCode" type="xs:string"></xs:element>
                                                               <xs:element name="PrimaryTaxonomySwitch" type="xs:string"></xs:element>
                                                         </xs:sequence>
                                                   </xs:complexType>
                                             </xs:element>
                                       </xs:sequence>
                                 </xs:complexType>
                           </xs:element>
                           <xs:element name="OtherIdentifiers">
                                 <xs:complexType>
                                       <xs:sequence>
                                             <xs:element name="OtherIdentifier" maxOccurs="unbounded">
                                                   <xs:complexType>
                                                         <xs:sequence>
                                                               <xs:element name="OtherIdentifierName" type="xs:string"></xs:element>
                                                               <xs:element name="OtherIdentifierType" type="xs:string"></xs:element>
                                                               <xs:element name="OtherIdentifierState" type="xs:string"></xs:element>
                                                               <xs:element name="OtherIdentifierIssuer"></xs:element>
                                                         </xs:sequence>
                                                   </xs:complexType>
                                             </xs:element>
                                       </xs:sequence>
                                 </xs:complexType>
                           </xs:element>
                           <xs:element name="HealthcareProviderTaxonomyGroups"></xs:element>
                     </xs:sequence>
               </xs:complexType>
         </xs:element>
   </xs:schema>

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