QUALITYCARE MEDICAL CENTER, INC., A CALIFORNIA PROFESSIONAL CORPORATIO (NPI# 1942342795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942342795 |
Entity Type | Organization |
Organization Name | QUALITYCARE MEDICAL CENTER, INC., A CALIFORNIA PROFESSIONAL CORPORATIO |
Other Organization Name | QUALITYCARE VISTA |
Practice Address |
840 Townsite Dr Vista CA 92084-5566 |
Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
Practice Telephone | 7606302422 |
Enumeration Date | 2007-02-12 |
Last Update Date | 2012-10-17 |
Authorized Official Name | KENNY HEINE (DIRECTOR OF OPERATIONS) |
Authorized Official Telephone | 8586252990 |
Is Organization Subpart | Y |
Parent Organization Name | MEDVANTX, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | A45129 | CA | Suppliers |
Other Name | Type Code |
---|---|
QualityCare Vista | Doing Business As Name - Organization |
Street Address |
840 TOWNSITE DR |
City | VISTA |
State | CA |
Zip Code | 92084-5566 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033108246 | James V. Chabala | Family Medicine | 840 Townsite Dr, Vista, CA 92084-5566 | 2005-10-19 |
1023414349 | Charter Hospice of San Diego, LLC | Hospice Care, Community Based | 840 Townsite Dr, Ste. 856, Vista, CA 92084-5566 | 2014-11-13 |
1164450458 | Robert Seal | Specialist | 840 Townsite Dr, Vista, CA 92084-5566 | 2006-06-28 |
1568446276 | Robert M. Turner | Chiropractor | 840 Townsite Dr, Vista, CA 92084-5566 | 2005-12-06 |
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 |
Find all providers in zip 92084 |
Taxonomy Code | 332900000X |
Grouping | Suppliers |
Classification | Non-Pharmacy Dispensing Site |
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
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 |
---|---|---|---|---|
1285068536 | Eye Surgery Center of Southern California, A Medical Group | Non-Pharmacy Dispensing Site | 2023 W Vista Way, Suite E, Vista, CA 92083-6030 | 2013-08-22 |
1801229661 | Anuj Gupta, M.d., Corporation | Non-Pharmacy Dispensing Site | 2023 W Vista Way, Suite D, Vista, CA 92083-6030 | 2013-08-15 |
1982822318 | Vista Community Clinic | Non-Pharmacy Dispensing Site | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2007-04-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982225496 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 5757 Pacific Ave Ste 228, Stockton, CA 95207-5159 | 2020-05-06 |
1285268391 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 1337 S Lovers Ln Ste D, Visalia, CA 93292-5249 | 2020-02-27 |
1790327732 | Triumph Specialties LLC | Non-Pharmacy Dispensing Site | 11100 Sepulveda Blvd # 8-519, Mission Hills, CA 91345-1131 | 2019-10-10 |
1487210365 | Artius Dermatology Associates P.C. | Non-Pharmacy Dispensing Site | 325 Mall Dr Ste 111, Hanford, CA 93230-5950 | 2019-05-15 |
1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
1043719206 | Southern California Orthopedic Institute L.p | Non-Pharmacy Dispensing Site | 4100 Empire Dr Ste 120, Bakersfield, CA 93309-0408 | 2018-02-02 |
1174032353 | Golden Gate Urology, Inc. | Non-Pharmacy Dispensing Site | 139 Townsend St Ste 100, San Francisco, CA 94107-1946 | 2017-09-20 |
1215462080 | Mas Management Group, Inc. | Non-Pharmacy Dispensing Site | 28446 Constellation Rd, Valencia, CA 91355-5081 | 2017-04-28 |
1730624719 | St. John's Well Child and Family Center Inc | Non-Pharmacy Dispensing Site | 326 W 23rd St, Los Angeles, CA 90007-2612 | 2016-12-29 |
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.