Vista Grande Medical Supplies, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

VISTA GRANDE MEDICAL SUPPLIES, INC.

Practice address

3435 Camino del Rio S Ste 204
San Diego, CA 92108-3911

Phone

(619) 750-5627

NPI assigned

Feb 5, 2019

Last updated

Feb 5, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric Brown

Title

Owner

Phone

(619) 750-5627

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1861957847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 CAMINO DEL RIO S STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083911",
            "telephone_number": "619-750-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 CAMINO DEL RIO S STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083911",
            "telephone_number": "619-750-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA GRANDE MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-750-5627"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Visiting MD Inc
• Ana Rane Viss
• Bianca Patricia Visser, PPS
• Sharon Joann Visser, CNS
• Vista Community Hospice, Inc. (Compassionate Care Hospice)
• Vista Hill Foundation (ADAPT Program)
• Vista Hill Foundation (Vista Hill SmartCare Behavioral Health Consultation Services)
• Vista Hill Foundation (Vista Hill Care Connect)
• Vista Hill Foundation (Center for Child & Youth Psychiatry)
• Vista Hill Foundation (ParentCare Central Family Recovery Center)

• Durable Medical Equipment & Medical Supplies in San Diego, CA
• Providers in San Diego, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.