NPIMap

Organization Active NPI

Vista Guidance Centers, Inc.

  • Substance Abuse Rehabilitation Facility
  • Barstow, CA
National Provider Identifier
1437288131
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
360032GN Issued in CA
Legal business name
VISTA GUIDANCE CENTERS, INC.
Practice address
236 E Fredricks St
Barstow, CA 92311-2821
Phone
(760) 256-7313
Fax
(760) 256-3101
NPI assigned
Mar 6, 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
Mrs. Sonia Jenny Borja
Title
Director of Finance
Phone
(909) 335-7067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 360032GN CA Primary

Addresses

Primary practice location

236 E Fredricks St
Barstow, CA 92311-2821

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
8606MedicaidCA

Other names 1

  • REDLANDS YUCAIPA GUIDANCE CENTERS 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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437288131",
    "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": "909-792-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 E FREDRICKS ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112821",
            "telephone_number": "760-256-7313",
            "fax_number": "760-256-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA GUIDANCE CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BORJA",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "JENNY",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "909-335-7067",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "360032GN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8606",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REDLANDS YUCAIPA GUIDANCE CENTERS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Barstow, 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.