Organization Active NPI

Vista Way OB-GYN Medical Group, Inc.

  • Obstetrics & Gynecology Physician
  • Encinitas, CA
National Provider Identifier
1427078286
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
VISTA WAY OB-GYN MEDICAL GROUP, INC.
Practice address
345 Saxony Rd Ste 205
Encinitas, CA 92024-2787
Phone
(760) 635-1880
Fax
(760) 635-1887
NPI assigned
Jul 21, 2006
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
Mrs. Michelle Moore
Title
Office Manager
Phone
(760) 758-1220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

345 Saxony Rd Ste 205
Encinitas, CA 92024-2787

Mailing address

3998 Vista Way Ste C202
Oceanside, CA 92056-4518
Phone (760) 758-1220

Other identifiers 1

IdentifierTypeStateIssuer
GR010620MedicaidCA

National Provider Directory

National Provider Directory

Locations

345 Saxony Rd
Ste 205
Encinitas, CA 92024
Phone (760) 635-1880

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427078286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 VISTA WAY STE C202",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564518",
            "telephone_number": "760-758-1220",
            "fax_number": "760-758-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 SAXONY RD STE 205",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242787",
            "telephone_number": "760-635-1880",
            "fax_number": "760-635-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA WAY OB-GYN MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "760-758-1220",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR010620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, 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.