VISTA COMMUNITY CLINIC (NPI# 1689760100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689760100 |
| Entity Type | Organization |
| Organization Name | VISTA COMMUNITY CLINIC |
| Practice Address |
4700 North River Road Oceanside CA 92057 |
| Mailing Address |
1000 Vale Terrace Vista CA 92084 |
| Practice Telephone | 7604336880 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-07-25 |
| Authorized Official Name | MS. MICHELE LAMBERT (CFO) |
| Authorized Official Telephone | 7607260065 |
| Is Organization Subpart | Y |
| Parent Organization Name | VISTA COMMUNITY CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
080000779 | CA | Ambulatory Health Care Facilities |
| 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 |
| 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 |
| 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 |
4700 NORTH RIVER ROAD |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760973952 | Michelle Alamo Domingo | Nurse Practitioner | 4330 Silver Spring Way, Oceanside, CA 92057 | 2018-05-23 |
| 1780107359 | Baljit D Singh | Dentist | 555221 Box, Box 555221, Fpo, AE 92057 | 2017-07-25 |
| 1629513734 | John Francis Donovan | Technician, Pathology | 3619 Dearborn St, Oceanside, CA 92057 | 2016-12-28 |
| 1639546997 | San Joaquin Assisted Living LLC | Assisted Living Facility | 4478 San Joaquin St, Oceanside, CA 92057 | 2015-08-21 |
| 1194167429 | Khamsy Siharath | Registered Nurse | 4451 San Joaquin St, Oceanside, CA 92057 | 2013-07-29 |
| 1205186244 | Michelle Tracy Plumb | Marriage & Family Therapist | 102 Rancho Del Oro Drive, Oceanside, CA 92057 | 2012-09-18 |
| 1720350416 | Ashley Nicole Kline | Military Health Care Provider | 191 Mckinley Street, Oceanside, CA 92057 | 2012-01-27 |
| 1548542558 | Jennifer Ann Wermers | Dental Hygienist | 4824 Contour Court, Oceanside, CA 92057 | 2011-09-15 |
| 1295969368 | Mariza Rubi Salazar | Dental Assistant | 103 Avenida Del Gado, Oceanside, CA 92057 | 2009-05-05 |
| 1669632378 | Marcie Alena Bokelman | Registered Nurse | 4906 Tyler St, Oceanside, CA 92057 | 2008-06-16 |
| Find all providers in zip 92057 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437245412 | Vista Community Clinic | Clinic/Center | 517 N Horne St, Oceanside, CA 92054-2518 | 2006-10-05 |
| 1649363375 | Vista Community Clinic | Clinic/Center | 818 Pierview Way, Oceanside, CA 92054 | 2006-10-02 |
| 1043676158 | Long Island Fqhc, Inc. | Clinic/Center | 3227 Long Beach Rd Ste 2, Oceanside, NY 11572-3651 | 2016-01-05 |
| 1174608863 | Vista Community Clinic | Clinic/Center | 4002 Vista Way, Oceanside, CA 92056-4506 | 2006-10-25 |
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| 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.