Canyon Vista Healthcare Medical Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

G29828 Issued in CA

Legal business name

CANYON VISTA HEALTHCARE MEDICAL CORPORATION

Practice address

2319 E Washington Blvd
Suite One
Pasadena, CA 91104-1945

Phone

(626) 296-3181

NPI assigned

Jun 21, 2011

Last updated

Jun 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William D McIntyre Jr., M.D.

Title

President

Phone

(626) 296-3181

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1245526029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 E WASHINGTON BLVD",
            "address_2": "SUITE ONE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911041945",
            "telephone_number": "626-296-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 E WASHINGTON BLVD",
            "address_2": "SUITE ONE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911041945",
            "telephone_number": "626-296-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON VISTA HEALTHCARE MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "MCINTYRE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-296-3181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G29828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Patricia Canote, LPCC
• Earl A Canson III, M.D, MPH
• Samantha Raelyn Canter, LMFT
• David Cantor, MD
• Michelle Dianne Cantrell
• Minh-Tri Cao, NP
• Kalvin Cory Caoile
• Angela L Capellupo, PA-C
• Capital Health Care Corporation (Capital Care Home Health)
• Simona E Capitani, PA-C

• Primary Care Clinic/Center in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.