Organization Active NPI

Vista Group

  • Psychologist
  • Los Alamitos, CA
National Provider Identifier
1689748485
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY19764 Issued in CA
Legal business name
VISTA GROUP
Practice address
4050 Katella Ave
Suite 102
Los Alamitos, CA 90720-3434
Phone
(562) 810-2740
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Authorized official

Name
Robert L Vande Steeg, PHDNPI 1073508594
Title
Owner
Phone
(562) 810-2740

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY19764 CA Primary

Addresses

Primary practice location

4050 Katella Ave
Suite 102
Los Alamitos, CA 90720-3434

Mailing address

4050 Katella Ave
Suite 102
Los Alamitos, CA 90720-3434
Phone (562) 810-2740

Other names 1

  • Robert L Vande Steeg Other name

National Provider Directory

National Provider Directory

Locations

5500 E Atherton St
Ste 310
Long Beach, CA 90815
Phone (562) 596-5956

4050 Katella Ave
Ste 102
Los Alamitos, CA 90720
Phone (562) 493-0242

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1689748485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 KATELLA AVE",
            "address_2": "SUITE 102",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203434",
            "telephone_number": "562-810-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 KATELLA AVE",
            "address_2": "SUITE 102",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203434",
            "telephone_number": "562-810-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "VANDE STEEG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-810-2740",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY19764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert L Vande Steeg",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.