Organization Active NPI

Vista Community Health Center

  • Community Health Clinic/Center
  • Sylmar, CA
National Provider Identifier
1760740138
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
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

Updated by the provider on Apr 24, 2012

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.