Organization Active NPI

Vista Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Vista, CA
National Provider Identifier
1124209614
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VISTA MEDICAL EQUIPMENT
Practice address
1070 S Santa Fe Ave
Suite 27
Vista, CA 92084-7007
Phone
(760) 631-2944
Fax
(760) 631-2929
NPI assigned
Nov 26, 2007
Last updated
Nov 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Mr. Robert C Villareal
Title
Ceo
Phone
(760) 631-2944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1070 S Santa Fe Ave
Suite 27
Vista, CA 92084-7007

Mailing address

1070 S Santa Fe Ave
Suite 27
Vista, CA 92084-7007
Phone (760) 631-2944

National Provider Directory

National Provider Directory

Locations

1070 S Santa Fe Ave
Ste 27
Vista, CA 92084
Phone (760) 631-2944

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1124209614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 S SANTA FE AVE",
            "address_2": "SUITE 27",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920847007",
            "telephone_number": "760-631-2944",
            "fax_number": "760-631-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 S SANTA FE AVE",
            "address_2": "SUITE 27",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920847007",
            "telephone_number": "760-631-2944",
            "fax_number": "760-631-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "VILLAREAL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-631-2944",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.