Organization Active NPI

Vista Immediate Care

  • Urgent Care Clinic/Center
  • Vista, CA
National Provider Identifier
1619252137
Registry record updated Oct 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
C54157 Issued in CA
Legal business name
VISTA IMMEDIATE CARE
Practice address
950 E Vista Way
Unit C
Vista, CA 92084-5200
Phone
(310) 561-0855
NPI assigned
Oct 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2011

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

Authorized official

Name
Dr. Devarshi Nath, MD
Title
Owner
Phone
(760) 295-7677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X C54157 CA Primary

Addresses

Primary practice location

950 E Vista Way
Unit C
Vista, CA 92084-5200

Mailing address

950 E Vista Way
Unit C
Vista, CA 92084-5200
Phone (310) 561-0855

National Provider Directory

National Provider Directory

Locations

950 E Vista Way
Ste C
Vista, CA 92084
Phone (310) 561-0855

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318723200000",
    "number": "1619252137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E VISTA WAY",
            "address_2": "UNIT C",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920845200",
            "telephone_number": "310-561-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E VISTA WAY",
            "address_2": "UNIT C",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920845200",
            "telephone_number": "310-561-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA IMMEDIATE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-16",
        "last_updated": "2011-10-16",
        "status": "A",
        "authorized_official_last_name": "NATH",
        "authorized_official_first_name": "DEVARSHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-295-7677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "C54157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2011; 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.