Individual provider Active NPI

Vania Baruch

  • Clinical Social Worker
  • Vista, CA
National Provider Identifier
1205469053
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
102454 Issued in CA
Practice address
134 Grapevine Rd
Vista, CA 92083-4004
Phone
(760) 631-5000
Fax
(760) 414-3892
NPI assigned
Feb 20, 2020
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 75797 CA
Clinical Social Worker 1041C0700X 102454 CA Primary

Addresses

Primary practice location

134 Grapevine Rd
Vista, CA 92083-4004

Mailing address

1000 Vale Terrace Dr
Vista, CA 92084-5218
Phone (760) 631-5000

Other practice location 1

31361 Riverside Dr
Lake Elsinore, CA 92530-7807
Phone (844) 308-5003

Other practice location 2

321 E Alvarado St
Fallbrook, CA 92028-2912
Phone (760) 723-6200

Other practice location 3

105 Durian St Ste A
Vista, CA 92083-6206
Phone (760) 631-5000

Other practice location 4

105 Durian St Ste A
Vista, CA 92083-6206
Phone (760) 631-5000

Other practice location 5

105 Durian St Ste B
Vista, CA 92083-6230
Phone (760) 613-5000

Other practice location 6

517 N Horne St
Oceanside, CA 92054-2518
Phone (760) 631-5000

Other practice location 7

818 Pier View Way
Oceanside, CA 92054-2803
Phone (760) 613-5000

Other practice location 8

201 S Harbor Blvd
LA Habra, CA 90631-5654
Phone (562) 264-6000

Other practice location 9

1910 Mission Ave Ste 4
Oceanside, CA 92058-7129
Phone (760) 631-5000

Other practice location 10

4700 N River Rd
Oceanside, CA 92057-6043
Phone (760) 631-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
75797CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fallbrook Pediatrics, Apc Past Accepting new patients
Vista Community Clinic Past Accepting new patients
Vista Community Clinic PastSince Mar 22, 2020 Accepting new patients
Vista Community Clinic Past Accepting new patients
Wendy a Shumate MD Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1205469053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 VALE TERRACE DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920845218",
            "telephone_number": "760-631-5000",
            "fax_number": "760-414-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 GRAPEVINE RD",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920834004",
            "telephone_number": "760-631-5000",
            "fax_number": "760-414-3892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31361 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Elsinore",
            "state": "CA",
            "postal_code": "925307807",
            "country_code": "US",
            "telephone_number": "844-308-5003",
            "fax_number": "760-414-3892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "321 E Alvarado St",
            "address_purpose": "LOCATION",
            "city": "Fallbrook",
            "state": "CA",
            "postal_code": "920282912",
            "country_code": "US",
            "telephone_number": "760-723-6200",
            "fax_number": "760-414-3892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Durian St Ste A",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920836206",
            "country_code": "US",
            "telephone_number": "760-631-5000",
            "fax_number": "760-414-3892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Durian St Ste A",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920836206",
            "country_code": "US",
            "telephone_number": "760-631-5000",
            "fax_number": "760-414-3892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Durian St Ste B",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920836230",
            "country_code": "US",
            "telephone_number": "760-613-5000",
            "fax_number": "760-414-3892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "517 N Horne St",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920542518",
            "country_code": "US",
            "telephone_number": "760-631-5000",
            "fax_number": "760-414-3892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "818 Pier View Way",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920542803",
            "country_code": "US",
            "telephone_number": "760-613-5000",
            "fax_number": "760-414-3892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 S Harbor Blvd",
            "address_purpose": "LOCATION",
            "city": "LA Habra",
            "state": "CA",
            "postal_code": "906315654",
            "country_code": "US",
            "telephone_number": "562-264-6000",
            "fax_number": "760-414-3892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1910 Mission Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920587129",
            "country_code": "US",
            "telephone_number": "760-631-5000",
            "fax_number": "760-414-3885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 N River Rd",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920576043",
            "country_code": "US",
            "telephone_number": "760-631-5000",
            "fax_number": "760-414-3892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARUCH",
        "first_name": "VANIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "75797",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "102454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.