Vista Community Clinic

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

VISTA COMMUNITY CLINIC

Practice address

201 S Harbor Blvd
La Habra, CA 90631-5654

Phone

(760) 631-5000

NPI assigned

Sep 19, 2016

Last updated

Nov 24, 2025By 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

Michele Lambert

Title

Cfo

Phone

(760) 631-5000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA4 enrollments

Enrollment records 4

NPI to CCN mapping 4

The Medicare certification numbers (CCNs) connected to NPI 1497203541. Details of each certification follow.

• CCN 751953 Federally qualified health center · Active · Details
• CCN A01913 Federally qualified health center · Active · Details
• CCN A01831 Federally qualified health center · Active · Details
• CCN A01874 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 751953

Legal name

VISTA COMMUNITY CLINIC

Doing business as

VCC:THE GARY CENTER-HARBOR

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Mar 15, 2017

Last certification

Mar 15, 2017

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Nov 11, 1972 in CA

Enrollment address

201 S Harbor Blvd
La Habra, CA 90631-5654

Federally qualified health center certification: CCN A01913

Legal name

VISTA COMMUNITY CLINIC

Doing business as

VCC: LAKE ELSINORE HEALTH CENTER

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Oct 10, 2023

Last certification

Oct 10, 2023

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Nov 11, 1972 in CA

Enrollment address

31361 Riverside Dr
Lake Elsinore, CA 92530-7807

Federally qualified health center certification: CCN A01831

Legal name

VISTA COMMUNITY CLINIC

Doing business as

VCC: FALLBROOK PEDIATRICS

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Feb 14, 2024

Last certification

Feb 14, 2024

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Nov 11, 1972 in CA

Enrollment address

321 E Alvarado St
Fallbrook, CA 92028-2912

Federally qualified health center certification: CCN A01874

Legal name

VISTA COMMUNITY CLINIC

Doing business as

VCC NORTH RIVER

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Aug 21, 2024

Last certification

Aug 21, 2024

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Nov 11, 1972 in CA

Enrollment address

4700 N River Rd
Oceanside, CA 92057-6043

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Vista Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Vista, CA
  • NPI 1295822658

  0042120156

  Same PAC ID
• Vista Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Oceanside, CA
  • NPI 1437245412

  0042120156

  Same PAC ID
• Vista Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Oceanside, CA
  • NPI 1649363375

  0042120156

  Same PAC ID
• Vista Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Vista, CA
  • NPI 1851300123

  0042120156

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nathaniel Ju, D.C.

  • Chiropractor
  • Vista, CA
  • NPI 1972883882
  NPD
• Jennifer Kristin Lovern, D.C.

  • Chiropractor
  • Vista, CA
  • NPI 1235469396
  NPD
• Vania Baruch

  • Clinical Social Worker
  • Vista, CA
  • NPI 1205469053
  NPD (past)
• Susan Chang, D.D.S.

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1437203213
  NPD (past)
• Naya Renee Player

  • Social Worker
  • Vista, CA
  • NPI 1124675640
  NPD (past)
• Kevin William Ryan, DMD

  • Dentist
  • Oceanside, CA
  • NPI 1568895977
  NPD (past)
• Michelle Li Zhou, M.D.

  • Pediatrics Physician
  • Torrance, CA
  • NPI 1972965176
  NPD (past)
• Joshua Vert, DDS

  • Pediatric Dentistry
  • Boston, MA
  • NPI 1780117036
  NPD (past)

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1497203541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 VALE TERRACE DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920845218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S HARBOR BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315654",
            "telephone_number": "760-631-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 Mission Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920587129",
            "country_code": "US",
            "telephone_number": "760-631-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "321 E Alvarado St",
            "address_purpose": "LOCATION",
            "city": "Fallbrook",
            "state": "CA",
            "postal_code": "920282912",
            "country_code": "US",
            "telephone_number": "760-631-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31361 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Elsinore",
            "state": "CA",
            "postal_code": "925307807",
            "country_code": "US",
            "telephone_number": "951-252-2720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30195 Fraser Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Elsinore",
            "state": "CA",
            "postal_code": "925307006",
            "country_code": "US",
            "telephone_number": "951-252-2720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 Civic Center Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920835208",
            "country_code": "US",
            "telephone_number": "760-439-4839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 N River Rd",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920576043",
            "country_code": "US",
            "telephone_number": "760-631-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2228 Sepulveda Blvd",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905015301",
            "country_code": "US",
            "telephone_number": "760-631-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Durian St Ste A",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920836206",
            "country_code": "US",
            "telephone_number": "760-631-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 College Blvd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920576261",
            "country_code": "US",
            "telephone_number": "760-414-3885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VISTA COMMUNITY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-19",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "LAMBERT",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "760-631-5000"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annelise Yvette Vilchez
• Gloria Estella Villegas, D.D.S
• Estelle Charlotte Vincent, MD
• Maurice Vincent, M.D.
• Vista Community Clinic
• Vista Community Clinic
• Brian K Vo, PHARMD
• Kay Vu
• Quang Vu, PHARM.D.
• Tom T Vu, DMD

• Federally Qualified Health Center (FQHC) in La Habra, CA
• Providers in La Habra, CA by specialty
• Federally Qualified Health Center (FQHC) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.