Vista Family Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

53656 Issued in CA

Legal business name

VISTA FAMILY DENTAL

Practice address

630 Alta Vista Dr Ste 108
Vista, CA 92084-5505

Phone

(760) 405-8389

NPI assigned

Sep 11, 2017

Organization subpart

No

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

Authorized official

Name

Valerie A Rogers

Title

Office Assistant

Phone

(951) 677-5113

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505088000000",
    "number": "1669991733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 ALTA VISTA DR STE 108",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920845505",
            "telephone_number": "760-724-6537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 ALTA VISTA DR STE 108",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920845505",
            "telephone_number": "760-405-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2017-09-11",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE ASSISTANT",
        "authorized_official_telephone_number": "951-677-5113"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "53656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vista Community Clinic
• Vista Community Clinic - Dental
• Vista Community Clinic - Family Medicine
• Vista Community Clinic - Pharmacy
• Vista Community Clinic - Women'S Center
• Vista Family Health Center,a Medical Corporation
• Vista Hospice Care Inc
• Vista Immediate Care
• Vista Kids Dental PC
• Vista Medical Equipment

• Dental Clinic/Center in Vista, CA
• Providers in Vista, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; 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.