City of Vista California

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

CITY OF VISTA CALIFORNIA

Practice address

200 Civic Center Dr
Vista, CA 92084-6275

Phone

(760) 643-2801

NPI assigned

Oct 17, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. K. Danielle Pearson

Title

Emergency Service Officer

Phone

(760) 643-5349

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• City of Vista Ambulance Service Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1295724813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CIVIC CENTER DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846275",
            "telephone_number": "760-643-2801",
            "fax_number": "760-643-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CIVIC CENTER DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846275",
            "telephone_number": "760-643-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF VISTA CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "K.",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "EMERGENCY SERVICE OFFICER",
        "authorized_official_telephone_number": "760-643-5349",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ42667Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Vista Ambulance Service",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Marty Chumpitaz
• William Chun, RPH
• Khin-Poh Oscar Chung, O.D.
• Jessica Cincotta
• Calin Cionca
• John Clancy, DO
• Tara Leigh Clancy, D.O.
• Belinda T Clanor, D.O.
• Cynthia Rae Clark, F.N.P.
• Donna M Clark, GNP

• Ambulance in Vista, CA
• Providers in Vista, CA by specialty
• Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.