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).
| 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 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1851300123 | 05 | |
| PK | 2120987 | 01 |
| Other Name | Type Code |
|---|---|
| Vista Community Clinic | Doing Business As Name - Organization |
| 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 |
| 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 |
134 GRAPEVINE RD |
| City | VISTA |
| State | CA |
| Zip Code | 92083-4004 |
| 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 |
| 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 Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629296041 | Vista Community Clinic - Pharmacy | Pharmacy | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2007-04-23 |
| 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 | ||||
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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.