Vista Physical Theraphy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT17868 Issued in CA

Legal business name

VISTA PHYSICAL THERAPHY

Practice address

6520 N Irwindale Ave
Irwindale, CA 91702-2801

Phone

(626) 812-0366

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Henry Bagtas Fauni, RPT

Title

Physical Therapist

Phone

(626) 812-0366

Specialties & licenses 1

Addresses

Other names 1

• Foothill Medical Center Other name

Tax ID family

Foothill Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Henry B. Fauni

  • Physical Therapy Clinic/Center
  • Chino, CA
  • NPI 1508986639
  NPD tax ID

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245350438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 N IRWINDALE AVE",
            "city": "IRWINDALE",
            "state": "CA",
            "postal_code": "917022801",
            "telephone_number": "626-812-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 N IRWINDALE AVE",
            "city": "IRWINDALE",
            "state": "CA",
            "postal_code": "917022801",
            "telephone_number": "626-812-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA PHYSICAL THERAPHY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAUNI",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "BAGTAS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "626-812-0366",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT17868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothill Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amber Vargas
• Eileen Vargas, RD
• Alexis Jazmeen Vasquez
• Samantha Velazquez
• Adriana Villarreal
• Enrique De la Torre Vizcarra
• Pearlean White, AMFT
• Erica Vanessa Wirtz
• Julie Theng Wong
• Drena Woods

• Physical Therapy Clinic/Center in Irwindale, CA
• Providers in Irwindale, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.