Active NPI
Vista Community Health Center
- Community Health Clinic/Center
- Sylmar, CA
National Provider Identifier
1760740138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Legal business name
- VISTA COMMUNITY HEALTH CENTER
- Practice address
- 14117 Hubbard St
Suite M
Sylmar, CA 91342-4713 - Phone
- (818) 833-3306
- NPI assigned
- Apr 24, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Delina Johnson, RN, PHN
- Title
- Ceo
- Phone
- (818) 833-3306
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | CA | Primary | |
| Primary Care Clinic/Center | 261QP2300X | CA |
Addresses
Primary practice location
14117 Hubbard St
Suite M
Sylmar, CA 91342-4713
Mailing address
14117 Hubbard St
Suite M
Sylmar, CA 91342-4713
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335225600000",
"number": "1760740138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14117 HUBBARD ST",
"address_2": "SUITE M",
"city": "SYLMAR",
"state": "CA",
"postal_code": "913424713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14117 HUBBARD ST",
"address_2": "SUITE M",
"city": "SYLMAR",
"state": "CA",
"postal_code": "913424713",
"telephone_number": "818-833-3306"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISTA COMMUNITY HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-24",
"last_updated": "2012-04-24",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "DELINA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-833-3306",
"authorized_official_credential": "RN, PHN"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sylmar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.