Active NPI
Vista Way OB-GYN Medical Group, Inc.
- Obstetrics & Gynecology Physician
- Encinitas, CA
National Provider Identifier
1427078286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR010620 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.