NPIMap

Organization Active NPI

Vista Guidance Centers, Inc.

  • Community/Behavioral Health Agency
  • Yucaipa, CA
National Provider Identifier
1093845422
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
240000192 Issued in CA
Legal business name
VISTA GUIDANCE CENTERS, INC.
Practice address
34324 Yucaipa Blvd
Suite B-D
Yucaipa, CA 92399-2496
Phone
(909) 790-1300
Fax
(909) 797-9687
NPI assigned
Mar 6, 2007
Last updated
Jun 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kathleen Darling
Title
Gerneral Manager
Phone
(606) 335-7067

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 360023AN CA
Community/Behavioral Health Agency 251S00000X 240000192 CA Primary

Addresses

Primary practice location

34324 Yucaipa Blvd
Suite B-D
Yucaipa, CA 92399-2496

Mailing address

PO Box 7369
Redlands, CA 92375-0369
Phone (909) 335-7067

Other identifiers 2

IdentifierTypeStateIssuer
3661MedicaidCA
36A9MedicaidCA

Other names 1

  • REDLANDS YUCAIPA GUIDANCE CENTERS Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Redlands Yucaipa Guidance Centers11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1093845422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7369",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923750369",
            "telephone_number": "909-335-7067",
            "fax_number": "909-792-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34324 YUCAIPA BLVD",
            "address_2": "SUITE B-D",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992496",
            "telephone_number": "909-790-1300",
            "fax_number": "909-797-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA GUIDANCE CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "DARLING",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "GERNERAL MANAGER",
        "authorized_official_telephone_number": "606-335-7067"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "360023AN",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "240000192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3661",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36A9",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REDLANDS YUCAIPA GUIDANCE CENTERS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Yucaipa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.