Vista Behavioral Health, Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A66432 Issued in CA

Legal business name

VISTA BEHAVIORAL HEALTH, INC

Practice address

10630 Town Center Drive.
Ste 110
Rancho Cucamonga, CA 91730

Phone

(909) 919-7727

NPI assigned

Sep 28, 2012

Organization subpart

No

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

Authorized official

Name

Ochuko Gregson Diamreyou, MD

Title

President

Phone

(909) 919-7727

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Flora Eloho Diamreyan, FNP

  • Nurse Practitioner
  • Rancho Cucamonga, CA
  • NPI 1477626521
  Medicare reassignment NPD
• Ochuko Gregson Diamreyan, M.D.

  • Psychiatry Physician
  • San Bernadino, CA
  • NPI 1134171408
  Medicare reassignment NPD

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348790400000",
    "number": "1881945905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 TOWN CENTER DRIVE",
            "address_2": "STE 110",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-919-7727",
            "fax_number": "909-191-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 TOWN CENTER DRIVE.",
            "address_2": "STE 110",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-919-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA BEHAVIORAL HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-28",
        "last_updated": "2012-09-28",
        "status": "A",
        "authorized_official_last_name": "DIAMREYOU",
        "authorized_official_first_name": "OCHUKO",
        "authorized_official_middle_name": "GREGSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-919-7727",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A66432",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ana Victoria Vivas Rosas, OTR/L
• Tuan Vo
• Megan Elizabeth Vogel

• Psychiatry Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.