Vista Mobile Health, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

VISTA MOBILE HEALTH, LLC

Practice address

10752 N 89TH PL # 104a-1
Scottsdale, AZ 85260-6730

Phone

(480) 566-5997

Fax

(480) 219-8283

NPI assigned

Nov 1, 2019

Organization subpart

No

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

Authorized official

Name

Wendy M Blum

Title

Director

Phone

(480) 566-5997

Specialties & licenses 1

Addresses

Other names 1

• Vista Mobile Health, LLC Other name

Locations

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572566400000",
    "number": "1114561107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10752 N 89TH PL # 104A-1",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606730",
            "telephone_number": "480-566-5997",
            "fax_number": "480-219-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10752 N 89TH PL # 104A-1",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606730",
            "telephone_number": "480-566-5997",
            "fax_number": "480-219-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA MOBILE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-01",
        "last_updated": "2019-11-01",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-566-5997"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Mobile Health, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Vista Ironwood Partners, LLC
• Vita Fortis Health PLLC
• Bryan Vitagliano, PT, DPT, MBA, MA
• Christopher Gene Vitagliano, D.M.D
• Lynne Vitagliano, LCSW
• Vital Male Scottsdale LLC

• Health Service Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Health Service Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; 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.