NPIMap

Organization Active NPI

Vista Guidance Centers, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Beaumont, CA
National Provider Identifier
1407973514
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
330070AN Issued in CA
Legal business name
VISTA GUIDANCE CENTERS, INC.
Practice address
790 Beaumont Ave Ste 210
Beaumont, CA 92223-5900
Phone
(951) 769-7436
Fax
(951) 769-7486
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Sonia J. Borja
Title
Director of Finance
Phone
(909) 335-7067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 330070AN CA Primary

Addresses

Primary practice location

790 Beaumont Ave Ste 210
Beaumont, CA 92223-5900

Mailing address

PO Box 7369
Redlands, CA 92375-0369
Phone (909) 335-7067

Other identifiers 1

IdentifierTypeStateIssuer
3383MedicaidCA

Other names 1

  • REDLANDS YUCAIPA GUIDANCE CLINIC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Redlands Yucaipa Guidance Centers11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

790 Beaumont Ave
Ste 210
Beaumont, CA 92223
Phone (951) 769-7436

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407973514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7369",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923750369",
            "telephone_number": "909-335-7067",
            "fax_number": "909-792-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 BEAUMONT AVE STE 210",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922235900",
            "telephone_number": "951-769-7436",
            "fax_number": "951-769-7486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA GUIDANCE CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BORJA",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "909-335-7067",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "330070AN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3383",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REDLANDS YUCAIPA GUIDANCE CLINIC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Beaumont, CA

Sources for this page

  • 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.