Vista Way OB-GYN Medical Group, in.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

VISTA WAY OB-GYN MEDICAL GROUP, IN.C.

Practice address

3998 Vista Way Ste C202
Oceanside, CA 92056-4518

Phone

(760) 758-1220

Fax

(760) 758-9735

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle M. Moore

Title

Office Manager

Phone

(760) 758-1220

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851311617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 VISTA WAY STE C202",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564518",
            "telephone_number": "760-758-1220",
            "fax_number": "760-758-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3998 VISTA WAY STE C202",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564518",
            "telephone_number": "760-758-1220",
            "fax_number": "760-758-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA WAY OB-GYN MEDICAL GROUP, IN.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "760-758-1220",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ81157Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vista Community Clinic (Vista Community Clinic Pier View)
• Vista Community Clinic
• Vista Community Clinic
• Vista Community Clinic - Horne Dispensary
• Vista Community Clinic - Pier View Way Dispensary
• Vita Modern Health, Inc
• Shannon Marie Vitale, LCSW
• Rita Viveiros, CAS
• Leilani Viveros
• Magdalene T. Vo, RN

• Obstetrics & Gynecology Physician in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.