NPIMap

Organization Active NPI

Vista Pacifica Enterprises

  • Skilled Nursing Facility
  • Riverside, CA
National Provider Identifier
1942206305
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VISTA PACIFICA ENTERPRISES
Practice address
3662 Pacific Ave
Riverside, CA 92509-1948
Phone
(951) 682-4833
Fax
(951) 274-4696
NPI assigned
Jun 21, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Cheryl B Jumonville
Title
Executive Vice President
Phone
(951) 682-4833

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

3662 Pacific Ave
Riverside, CA 92509-1948

Mailing address

3674 Pacific Ave
Riverside, CA 92509-1948
Phone (951) 682-4833

National Provider Directory

National Provider Directory
Tax ID family
Eucalyptus House6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942206305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3674 PACIFIC AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925091948",
            "telephone_number": "951-682-4833",
            "fax_number": "951-682-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3662 PACIFIC AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925091948",
            "telephone_number": "951-682-4833",
            "fax_number": "951-274-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA PACIFICA ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JUMONVILLE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "951-682-4833",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • 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.