VISTA COMMUNITY CLINIC


Address: 134 Grapevine Rd, Vista, CA 92083-4004
Phone: 7606315030

VISTA COMMUNITY CLINIC (NPI# 1619107240) 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) 1619107240
Entity Type Organization
Organization Name VISTA COMMUNITY CLINIC
Other Organization Name VISTA COMMUNITY CLINIC
Practice Address 134 Grapevine Rd
Vista
CA 92083-4004
Practice Telephone 7606315030
Practice Fax Number 7604143754
Mailing Telephone 7606315030
Mailing Fax Number 7604143754
Enumeration Date 2009-07-16
Last Update Date 2015-03-11
Authorized Official Name BARBARA MANNINO (CEO)
Authorized Official Telephone 7606315000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers
N 333600000X Pharmacy Suppliers
Y 3336C0002X Pharmacy
Specialization: Clinic Pharmacy
49951 CA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
CA 1851300123 05
PK 2120987 01

Other Provider/Organization Names

Other Name Type Code
Vista Community Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

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
1316501562 Vista Community Clinic Case Manager/Care Coordinator 1000 Vale Terrace Dr, Vista, CA 92084-5218 2019-04-23
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

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities VISTA COMMUNITY CLINIC 1000 Vale Terrace Dr, Vista, CA 92084-5218

Office Location

Street Address 134 GRAPEVINE RD
City VISTA
State CA
Zip Code 92083-4004

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942204979 Farzaneh Hassani Internal Medicine 134 Grapevine Rd, Vista, CA 92083-4004 2005-06-08
1952795072 Kelsey Carrio Family Medicine 134 Grapevine Rd, Vista, CA 92083-4004 2015-03-26
1871855080 Marie Chrys Patrick Family Medicine 134 Grapevine Rd, Vista, CA 92083-4004 2012-06-13
1134486905 Maria A Robles Case Manager/Care Coordinator 134 Grapevine Rd, Vista, CA 92083-4004 2012-04-18
1194027706 Allison Hilary Cory Nurse Practitioner 134 Grapevine Rd, Vista, CA 92083 2010-12-02
1548429863 Cheryl Emily Thompson Family Medicine 134 Grapevine Rd, Vista, CA 92083-4004 2008-06-02
1851300123 Vista Community Clinic Clinic/Center 134 Grapevine Rd, Vista, CA 92083-4004 2006-08-05
1205868510 Brian Shawn Luschwitz Pediatrics 134 Grapevine Rd, Vista, CA 92083-4004 2006-07-07
1326089269 Abbas Sedaghat Specialist 134 Grapevine Rd, Vista, CA 92083 2006-06-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114496882 Claire Louise Marsden Speech-Language Pathologist 1626 Fawley Lane, Vista, CA 92083 2018-11-24
1861975336 Shawna Corn Counselor 216 W. Los Angeles Dr., Vista, CA 92083 2018-09-11
1164916433 Sindia Zamarripa Case Manager/Care Coordinator 139 East Dr, Vista, CA 92083 2018-06-19
1184140295 Rosa Gema Pamatz Counselor 216 West Los Angeles Dr, Vista, CA 92083 2017-08-21
1528452521 Vincetta Cox Nursing Care 770 Sycamore Avenue, 122-178, Vista, CA 92083 2015-03-27
1922367739 Oriental Medical Arts & Acupuncture Acupuncturist 544 W Vista Way, Vista, CA 92083 2012-05-14
1861623001 Dawn Lindshield Counselor 550 W Vista Way Ste 408, Vista, CA 92083 2009-08-06
1932336534 Amyjane Dill Student in an Organized Health Care Education/Training Program 216 W Los Angeles Drive, New Haven Youth Family Services, Vista, CA 92083 2009-06-22
1821239054 Marisela Wong Pharmacist 1510 N. Santa Fe Avenue, Vista, CA 92083 2009-03-18
1235389602 Erik Sven Peterson Counselor 155 W. Bobier, Vista, CA 92083 2008-09-23
Find all providers in zip 92083

Taxonomy Information

Taxonomy Code 3336C0002X
Grouping Suppliers
Classification Pharmacy
Specialization Clinic Pharmacy

Taxonomy Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629296041 Vista Community Clinic - Pharmacy Pharmacy 1000 Vale Terrace Dr, Vista, CA 92084-5218 2007-04-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700491180 Omni Family Health Pharmacy 4646 N. 1st Street, Fresno, CA 93726-0973 2020-09-11
1083240048 Michael Anthony Abram Pharmacy 3240 Beck Rd, Lompoc, CA 93436-8301 2020-03-20
1043843428 Community Medical Centers Inc Pharmacy 7912 West Lane, Ste. 221, Room 102, Stockton, CA 95210-3159 2020-02-13
1053968289 California Institute for Men Phcy Pharmacy 14901 So Central Ave, Chino, CA 91710 2019-08-22
1447616198 Beverly Hills Wellness Physicians Corp Pharmacy 1703 N Avalon Blvd, Wilmington, CA 90744-1432 2016-01-11
1700242419 Pacific Rejuvination Medical A Professional Corp Pharmacy 7230 Medical Center Dr Ste 100, West Hills, CA 91307-4001 2016-01-11
1174923684 Planned Parenthood Mar Monte, Inc. Pharmacy 1032 A Street, Hayward, CA 94541-4106 2014-09-03
1306263264 University of Southern California Pharmacy 830 S Flower St, Los Angeles, CA 90017-4608 2014-03-27
1730428293 Mission City Community Network Inc Pharmacy 8527 Sepulveda Blvd Ste 131, North Hills, CA 91343-5824 2013-02-04
1700158797 Van Masteranna Billing Service, Inc Pharmacy 22631 Pacific Coast Hwy # 793, Malibu, CA 90265-5036 2012-02-06
Find all providers with the same taxonomy

Competitor

Search similar providers

City VISTA
Zip Code 92083

Improve Information

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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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