General Information Party ID Party Name Party Classification Mailing Address Work Phone Email/Website 635739 San Ysidro Health Privately-Owned Business 1601 Precision Park Lane San Diego, CA 92173 null null Related Places Place ID Place Name County Region Place Type Relationship to Party Relationship Start Date Relationship End Date 883791 GW EX - San Ysidro Health Pace/ Primary Care Clinic San Diego 9 Domestic Site NEC Owner and Operator 10/17/2022 null Related Parties Party ID Party Name Party Type Role/Relationship Relationship Start Date Relationship End Date Classification 642009 Terry Whitaker Person Legally Responsible Official 10/03/2023 null null 635740 Kevin Mattson Person Legally Responsible Official 10/17/2022 null null Regulatory Measures(non-enforcement) Reg. Measure ID Regulatory Measure Type Region WDID Title Status Program Order No. RM Effective Date RM Termination Date Relationship Relationship Start Date Relationship End Date 449596 Enrollee - NPDES 9 9 000003838 Enrollee - NPDES R9-2015-0013 for San Ysidro Health (San Ysidro Health Pace/ Primary Care Clinic) Active NPDNONMUNIPRCS R9-2015-0013 10/27/2022 null Discharger 10/17/2022 null Violations within the past calendar year Violation ID Occurrence Date Violation Type Violation Description Violation Status Priority Source Facility Name Violated Reg. Meas. ID Violated Reg. Meas. Order No. Linked To Enf. Enforcement Actions Enforcement ID Enforcement Type Enf. Order No. Title Program Effective Date Status Regulatory Measures linked to Related Parties Reg. Measure ID Organization Regulatory Measure Type Program Effective Date Status