VISTA COMMUNITY CLINIC (NPI# 1316501562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316501562 |
| Entity Type | Organization |
| Organization Name | VISTA COMMUNITY CLINIC |
| Practice Address |
1000 Vale Terrace Dr Vista CA 92084-5218 |
| Practice Telephone | 7602165803 |
| Mailing Telephone | 7602165803 |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2019-04-23 |
| Authorized Official Name | MICHELE LAMBERT (CFO) |
| Authorized Official Telephone | 7606315000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932562964 | Vista Community Clinic | Clinic/Center | 341 S. Hillcrest St., La Habra, CA 90631 | 2016-03-29 |
| 1346609971 | Vista Community Clinic | Clinic/Center | 311 Hillcrest St, La Habra, CA 90631-5340 | 2016-02-10 |
| 1437245412 | Vista Community Clinic | Clinic/Center | 517 N Horne St, Oceanside, CA 92054-2518 | 2006-10-05 |
| 1689760100 | Vista Community Clinic | Clinic/Center | 4700 North River Road, Oceanside, CA 92057 | 2006-10-04 |
| 1649363375 | Vista Community Clinic | Clinic/Center | 818 Pierview Way, Oceanside, CA 92054 | 2006-10-02 |
| 1578198503 | Vista Community Clinic | Dentist | 1910 Mission Ave Ste 4, Oceanside, CA 92058-7129 | 2020-03-10 |
| 1467990614 | Vista Community Clinic | Clinic/Center | 105 Durian St, Vista, CA 92083-6205 | 2017-02-08 |
| 1497203541 | Vista Community Clinic | Clinic/Center | 201 S Harbor Blvd, La Habra, CA 90631-5654 | 2016-09-19 |
| 1598124083 | Vista Community Clinic | Clinic/Center | 1525 E 17th St, Unit #b, Santa Ana, CA 92705-8521 | 2016-02-12 |
| 1013391036 | Vista Community Clinic | General Acute Care Hospital | 555 E Valley Pkwy, Escondido, CA 92025-3048 | 2015-07-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VISTA COMMUNITY CLINIC | 1000 Vale Terrace Dr, Vista, CA 92084-5218 |
| Street Address |
1000 VALE TERRACE DR |
| City | VISTA |
| State | CA |
| Zip Code | 92084-5218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770575888 | Debra S Edson | Dentist | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2005-08-16 |
| 1366053548 | Julie Ann Mistretta | Nurse Practitioner | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2020-08-12 |
| 1528686318 | Nienke Aiko Sahelijo | Nurse Practitioner | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2020-07-08 |
| 1457995706 | Kaliana Chamberlin | Nurse Practitioner | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2019-10-30 |
| 1609423342 | Mary Ann Parales | Nurse Practitioner | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2019-08-19 |
| 1083268023 | An Nhi Thi Vo | Pharmacist | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2019-07-29 |
| 1508427899 | Sara Tousi | Social Worker | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2019-06-26 |
| 1205391703 | Olga R Jackson | Nurse Practitioner | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2019-02-08 |
| 1942776166 | Angelica Aguilera Fox | Dental Hygienist | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2018-10-15 |
| 1528552502 | Laura Lee Williams | Dental Hygienist | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2018-06-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912483421 | James Foster | Community Health Worker | 1020 S Santa Fe Ave Ste B1, Vista, CA 92084 | 2018-07-17 |
| 1750766192 | Olivia Del Valle | Dental Hygienist | 1000 Vale Tarrace, Vista, CA 92084 | 2015-07-28 |
| 1609288497 | May Tom | Dietitian, Registered | 29402 Spa Havens Way, Vista, CA 92084 | 2014-05-28 |
| 1972924454 | Erica Harris | Student in an Organized Health Care Education/Training Program | 300 Michigan Ave, Vista, CA 92084 | 2013-12-30 |
| 1023392008 | Timothy Wong | Pharmacist | 802 S Santa Fe Ave, Vista, CA 92084 | 2011-10-07 |
| 1811296288 | Jennifer Prince | Family Medicine | 1000 Vale Terrance Dr, Vista, CA 92084 | 2011-03-24 |
| 1093948424 | Deborah Denise Butcher | Psychologist | 1259 Sugarbush Drive, Vista, CA 92084 | 2009-09-02 |
| 1699922062 | Patricia Kay Oquist | Marriage & Family Therapist | 1370 Barbara Drive, Vista, CA 92084 | 2008-08-27 |
| 1376715045 | Steve Michael Nave | Dentist | 933 A Vale Terrace Drive, Vista, CA 92084 | 2008-04-02 |
| 1780868844 | Randell Brandon Murphy | Counselor | 1010 E Vista Way Suite F, Vista, CA 92084 | 2007-12-26 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164916433 | Sindia Zamarripa | Case Manager/Care Coordinator | 139 East Dr, Vista, CA 92083 | 2018-06-19 |
| 1114343167 | Yannette Juarez Meza | Case Manager/Care Coordinator | 1030 Louie Pl, Vista, CA 92084-4337 | 2014-03-14 |
| 1598099384 | Green Health Alternative Care Center | Case Manager/Care Coordinator | 950 E Vista Way Ste A2, Vista, CA 92084-5252 | 2009-09-25 |
| 1164628970 | Julieta Polanco | Case Manager/Care Coordinator | 846 Williamston St, Vista, CA 92084-5245 | 2007-06-27 |
| 1679781074 | Irma Cazarez | Case Manager/Care Coordinator | 1627 Fawley Ln, Vista, CA 92083-7622 | 2007-05-18 |
| 1073734687 | Yolanda Rhode Worley | Case Manager/Care Coordinator | 1830 Thibodo Rd, #201, Vista, CA 92081-7570 | 2007-05-01 |
| 1225105877 | Fran Horvath | Case Manager/Care Coordinator | 550 W Vista Way Ste 206, Vista, CA 92083-5736 | 2006-11-29 |
| 1770099129 | Yesenia Ruvi Ramos | Case Manager/Care Coordinator | 465 La Tortuga Dr, Vista, CA 92081-4320 | 2017-12-21 |
| 1629583349 | Silvia Alcantar | Case Manager/Care Coordinator | 465 La Tortuga Dr, Vista, CA 92081-4320 | 2017-12-04 |
| 1881106474 | Nicole Isabella Schultz | Case Manager/Care Coordinator | 707 Civic Center Dr, Vista, CA 92084-6160 | 2017-11-03 |
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| 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.