Mountain Vista Manor Corp

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL8240H Issued in AZ

Legal business name

MOUNTAIN VISTA MANOR CORP

Practice address

1246 N 86TH PL
Mesa, AZ 85207-4133

Phone

(480) 656-8851

NPI assigned

Jul 8, 2011

Last updated

Jul 8, 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

Ruben Bugarin Barranco

Title

Vice President

Phone

(480) 467-9055

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1336436575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 N 86TH PL",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85207",
            "telephone_number": "480-656-8851",
            "fax_number": "480-668-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 N 86TH PL",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852074133",
            "telephone_number": "480-656-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VISTA MANOR CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-08",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "BARRANCO",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_middle_name": "BUGARIN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "480-467-9055"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL8240H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCS",
            "identifier": "588277",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mountain View Dental and Associates
• Mountain View Family Dental PLLC
• Mountain View Foot & Ankle LLC
• Mountain View Surgical Associates PC
• Mountain Vista Emergency Physicians, LLC
• Mountain Vista Medical Center
• Mountain Vista Medical Center LP
• Mountain Vista Medical Center LP
• Mountain Vista Medical Center, LP (Mountain Vista Medical Center)
• Mountain Vista Medical Group PLLC (Ralph a D'Silva)

• Assisted Living Facility in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.