NPIMap

Organization Active NPI

Vista Recovery Center

  • Addiction (Substance Use Disorder) Counselor
  • San Bernardino, CA
National Provider Identifier
1598960874
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
VISTA RECOVERY CENTER
Practice address
939 N D St
San Bernardino, CA 92418-0001
Phone
(909) 381-5100
Fax
(909) 792-0033
NPI assigned
Jun 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Maurine White
Title
Project Manager
Phone
(909) 792-0747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary

Addresses

Primary practice location

939 N D St
San Bernardino, CA 92418-0001

Mailing address

PO Box 7369
Redlands, CA 92375-0369
Phone (909) 792-0747

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": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598960874",
    "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": "909-792-0747",
            "fax_number": "909-792-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 N D ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924180001",
            "telephone_number": "909-381-5100",
            "fax_number": "909-792-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MAURINE",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "909-792-0747"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, 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.