Organization Active NPI

Vista Health and Wellness

Doing business as Vista Health and

  • Clinic/Center
  • Rio Rancho, NM
National Provider Identifier
1518784347
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VISTA HEALTH AND WELLNESS
Doing business as
Vista Health and
Practice address
1550 Bridger Rd NE
Rio Rancho, NM 87144-1579
Phone
(602) 410-2569
NPI assigned
Sep 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Gener Benardo
Title
Founder
Phone
(602) 410-2569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1550 Bridger Rd NE
Rio Rancho, NM 87144-1579

Mailing address

16031 N 16TH St
Phoenix, AZ 85022-3328
Phone (602) 410-2569

Other names 1

  • Vista Health and Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1518784347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16031 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850223328",
            "telephone_number": "602-410-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 BRIDGER RD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871441579",
            "telephone_number": "602-410-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "BENARDO",
        "authorized_official_first_name": "GENER",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "602-410-2569"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Health and",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.