VISTA COMMUNITY CLINIC (NPI# 1437245412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437245412 |
| Entity Type | Organization |
| Organization Name | VISTA COMMUNITY CLINIC |
| Practice Address |
517 N Horne St Oceanside CA 92054-2518 |
| Mailing Address |
1000 Vale Terrace Dr Vista CA 92084-5218 |
| Practice Telephone | 7606315009 |
| Enumeration Date | 2006-10-05 |
| 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) |
080000745 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HAP70921F | 05 |
| 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 |
| 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 |
| 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 |
517 N HORNE ST |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92054-2518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861896607 | Wende West | Social Worker | 517 N Horne St, Oceanside, CA 92054-2518 | 2014-10-21 |
| 1609094036 | Vista Community Clinic - Horne Dispensary | Non-Pharmacy Dispensing Site | 517 N Horne St, Oceanside, CA 92054-2518 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497369987 | Crownview Telehealth Instiute LLC | Community/Behavioral Health | 315 North Clementine Street, Oceanside, CA 92054 | 2020-09-02 |
| 1992353585 | Janell Katherine Dulaney | Student in an Organized Health Care Education/Training Program | 738 S Tremont St, Oceanside, CA 92054 | 2019-08-28 |
| 1295201986 | North County Psychology Apc | Clinical Neuropsychologist | 2204 S. El Camino Real, #305, Oceanside, CA 92054 | 2018-10-19 |
| 1437638947 | Amy Joanne Buckner | Student in an Organized Health Care Education/Training Program | 2204 S El Camino Real Ste 102, Oceanside, CA 92054 | 2018-08-07 |
| 1285112458 | Alique Bedikian | Counselor | 1100 Sportfisher Dr, Oceanside, Oceanside, CA 92054 | 2018-07-31 |
| 1053809244 | Thrive Medical Specialists, A Professional Corporation | Physical Medicine & Rehabilitation | 322 N Nevada St., Oceanside, CA 92054 | 2018-04-24 |
| 1982133377 | Maegan Casanova | Psychologist | 1213 Herby Way, Oceanside, CA 92054 | 2017-06-08 |
| 1588109466 | Ryan Purvis | Counselor | 2812 Oceanside Blvd, Oceanside, CA 92054 | 2016-12-30 |
| 1629512595 | Ahi Vein and Vascular Specialists Inc A Professional Medical Corp | Clinic/Center | 2125 South El Camino Real, Suite 210, Oceanside, CA 92054 | 2016-12-13 |
| 1437531175 | Ginger Burleson | Counselor | 1110 Sportfisher Drive, Oceanside, CA 92054 | 2015-06-18 |
| Find all providers in zip 92054 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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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| 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.