# All Employees: Ambulatory Health Care Services — San Diego-Chula Vista-Carlsbad, CA (NSA)

All Employees: Ambulatory Health Care Services — San Diego-Chula Vista-Carlsbad, CA (NSA) was up 8.9% year on year in September 2026, compared with 6.9% in August 2026.
The level stood at 108.6 thousands.
That is the highest reading since July 2021.
Over the past ten years it has ranged from −16.0% (Apr 2020) to 23.9% (Apr 2021), averaging 3.6%.

- Source agency: U.S. Bureau of Labor Statistics (flat files)
- Makrognosis code: `US-41740.PAYEMS.M.NSA.IND-65621000`
- Frequency: monthly
- Units: thousands
- Coverage: 1990-01-01 to 2026-09-01 (441 observations)
- Page: https://makrognosis.robomacro.com/data/united-states/all-employees-ambulatory-health-care-services-san-diego-chula-vista

## Recent data

| Period | Value | Y/Y % |
|---|---:|---:|
| September 2026 | 108.6 thousands | 8.9 |
| August 2026 | 107.4 thousands | 6.9 |
| July 2026 | 106.3 thousands | 6.8 |
| June 2026 | 106.5 thousands | 8.9 |
| May 2026 | 107.4 thousands | 8.4 |
| April 2026 | 107.1 thousands | 8.4 |
| March 2026 | 106.0 thousands | 8.1 |
| February 2026 | 102.9 thousands | 4.4 |
| January 2026 | 105.2 thousands | 7.3 |
| December 2025 | 104.7 thousands | 6.5 |
| November 2025 | 105.2 thousands | 5.9 |
| October 2025 | 103.9 thousands | 4.8 |
| September 2025 | 99.70 thousands | 2.6 |
| August 2025 | 100.5 thousands | 2.7 |
| July 2025 | 99.50 thousands | 1.4 |
| June 2025 | 97.80 thousands | 1.1 |
| May 2025 | 99.10 thousands | 1.7 |
| April 2025 | 98.80 thousands | 1.1 |
| March 2025 | 98.10 thousands | 0.9 |
| February 2025 | 98.60 thousands | 1.1 |
| January 2025 | 98.00 thousands | 1.0 |
| December 2024 | 98.30 thousands | 0.9 |
| November 2024 | 99.30 thousands | 2.5 |
| October 2024 | 99.10 thousands | 3.1 |

## API

```
curl -H "X-API-Key: $MAKROGNOSIS_KEY" \
  "https://makrognosis.robomacro.com/v1/series/US-41740.PAYEMS.M.NSA.IND-65621000"

# Python
import requests
r = requests.get("https://makrognosis.robomacro.com/v1/series/US-41740.PAYEMS.M.NSA.IND-65621000",
                 headers={"X-API-Key": KEY})
obs = r.json()["observations"]
```
