CANYON VISTA HEALTHCARE MEDICAL CORPORATION


Address: 2319 E Washington Blvd, Suite One, Pasadena, CA 91104-1945
Phone: 6262963181

CANYON VISTA HEALTHCARE MEDICAL CORPORATION (NPI# 1245526029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245526029
Entity Type Organization
Organization Name CANYON VISTA HEALTHCARE MEDICAL CORPORATION
Practice Address 2319 E Washington Blvd
Suite One
Pasadena
CA 91104-1945
Practice Telephone 6262963181
Mailing Telephone 6262963181
Enumeration Date 2011-06-21
Last Update Date 2011-06-21
Authorized Official Name DR. WILLIAM D MCINTYRE JR. (PRESIDENT)
Authorized Official Telephone 6262963181
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
G29828 CA Ambulatory Health Care Facilities

Office Location

Street Address 2319 E WASHINGTON BLVD
SUITE ONE
City PASADENA
State CA
Zip Code 91104-1945

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710925144 William D Mcintyre, Jr. Internal Medicine 2319 E Washington Blvd, Suite One, Pasadena, CA 91104-1945 2006-06-04
1427371731 Jimmy Eagle Arms Jr. Physician Assistant 2319 E Washington Blvd, Suite #2, Pasadena, CA 91104-1945 2010-03-02
1811925183 Stephen Douglas Henry Internal Medicine 2319 E Washington Blvd, Suite 2, Pasadena, CA 91104-1945 2006-06-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093284382 Jack Lee Johnson II Counselor 1680 North Fair Oaks, Pasadena, CA 91104 2018-11-16
1699257055 Aqueelah Russell Lactation Consultant, Non-RN 855 N. Catalina Ave, Pasadena, CA 91104 2018-09-02
1053893529 Jordann Ashley Stewart Case Manager/Care Coordinator 691 East Washington Blvd, Pasadena, CA 91104 2018-08-31
1942789706 Elmer Caballero Case Manager/Care Coordinator 691 E Washington Blvd, Pasadena, CA 91104 2018-08-12
1649759648 Orlando Javier Sava Jr. Case Manager/Care Coordinator 1395 E. Orange Grove Blvd, Pasadena, CA 91104 2018-08-09
1669923611 Grandview Foundation, Inc. Substance Abuse Rehabilitation Facility 225 Grandview Street, Pasadena, CA 91104 2016-10-14
1255734166 Linhua Wang-kim Massage Therapist 1028 N. Lake Ave., Suite 108c, Pasadena, CA 91104 2014-10-06
1477893782 Med Tec Diagnostic Inc. Clinic/Center 1310 N. Mar Vista Unit 3, Pasadena, CA 91104 2013-02-22
1750631321 Gordon Sheldall Marriage & Family Therapist 1495 N Lake Avenue, Pasadena, CA 91104 2012-09-11
1699024521 Sherry Lynn Wait Marriage & Family Therapist 1495 N. Lake Ave., Pasadena, CA 91104 2012-09-06
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1861786782 S.e. Complete Family Care Clinic/Center 1907 Southmore Ave # 5, Pasadena, TX 77502-1314 2011-06-08
1487956553 Kkt Medical, Pllc Clinic/Center 2615 Strawberry Road, Pasadena, TX 77502 2010-11-23
1538482567 Irina Jasper Md A Professional Corp Clinic/Center 960 E Green St Ste 286, Pasadena, CA 91106-2420 2010-03-04
1710538095 Dareen Khalaf PCp Inc Clinic/Center 215 N Allen Ave, Pasadena, CA 91106-1601 2019-09-27
1740691047 First Choice Mobile Medicine, Inc. Clinic/Center 1650 E Walnut St, Pasadena, CA 91106-1619 2014-05-08
1093136582 Annie A. Barseghian Md Inc Clinic/Center 800 Fairmount Ave, Suite 210, Pasadena, CA 91105-3150 2013-12-30
1679826226 Ayad Alanizi, Md, Inc. Clinic/Center 127 N Madison Ave Ste 106, Pasadena, CA 91101-1750 2012-10-19
1598033920 Jacklin Poladian, M.d., Inc. Clinic/Center 301 S Fair Oaks Ave, Suite 403, Pasadena, CA 91105-2561 2011-12-13
1477797306 Eclat Medical, Inc Clinic/Center 50 Bellefontaine St, #203, Pasadena, CA 91105-3132 2009-04-22
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Competitor

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City PASADENA
Zip Code 91104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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