NPIMap

Organization Active NPI

Vista Community Clinic - Horne Dispensary

  • Non-Pharmacy Dispensing Site
  • Oceanside, CA
National Provider Identifier
1609094036
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
CLN343 Issued in CA
Legal business name
VISTA COMMUNITY CLINIC - HORNE DISPENSARY
Practice address
517 N Horne St
Oceanside, CA 92054-2518
Phone
(760) 631-5009
NPI assigned
Apr 23, 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
Mr. Tracy Muenz
Title
Revenue Manager
Phone
(760) 726-0065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X CLN343 CA Primary

Addresses

Primary practice location

517 N Horne St
Oceanside, CA 92054-2518

Mailing address

1000 Vale Terrace Dr
Vista, CA 92084-5218

National Provider Directory

National Provider Directory
Tax ID family
Vista Community Clinic - Family Medicine24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609094036",
    "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": "517 N HORNE ST",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920542518",
            "telephone_number": "760-631-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA COMMUNITY CLINIC - HORNE DISPENSARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUENZ",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "REVENUE MANAGER",
        "authorized_official_telephone_number": "760-726-0065",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "CLN343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, 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.