Individual provider Active NPI

Ariana N Vista, OTA

  • Occupational Therapy Assistant
  • Pala, CA
National Provider Identifier
1871153676
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
Practice address
37111 Pala Temecula Road
Pala, CA 92059-2427
Phone
(858) 361-9544
NPI assigned
Jun 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X Primary

Addresses

Primary practice location

37111 Pala Temecula Road
Pala, CA 92059-2427

Mailing address

9518 9TH St Ste C-1
Rancho Cucamonga, CA 91730-4568
Phone (909) 443-9919

Other practice location 1

9518 9th St Ste C-1
Rancho Cucamonga, CA 91730-4568
Phone (909) 442-9919

Other names 1

  • Ariana N Kenny Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1871153676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9518 9TH ST STE C-1",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304568",
            "telephone_number": "909-443-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37111 PALA TEMECULA ROAD",
            "city": "PALA",
            "state": "CA",
            "postal_code": "920592427",
            "telephone_number": "858-361-9544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9518 9th St Ste C-1",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917304568",
            "country_code": "US",
            "telephone_number": "909-442-9919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VISTA",
        "first_name": "ARIANA",
        "middle_name": "N",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARIANA",
            "last_name": "KENNY",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pala, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.