Organization Active NPI

Vista Critical Care Associates Inc

  • Critical Care Medicine (Internal Medicine) Physician
  • Glendale, CA
National Provider Identifier
1942971189
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
VISTA CRITICAL CARE ASSOCIATES INC
Practice address
1511 W Glenoaks Blvd
Glendale, CA 91201-1912
Phone
(818) 637-2200
Fax
(818) 637-2250
NPI assigned
Sep 27, 2021
Last updated
Sep 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Authorized official

Name
Dr. Saeid Safaee, MDNPI 1437112604
Title
Ceo
Phone
(818) 337-8870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Critical Care Medicine (Internal Medicine) Physician 207RC0200X NU Primary
Pulmonary Disease Physician 207RP1001X NU

Addresses

Primary practice location

1511 W Glenoaks Blvd
Glendale, CA 91201-1912

Mailing address

1511 W Glenoaks Blvd
Glendale, CA 91201-1912
Phone (818) 637-2200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address saeid.safaee@scpcca.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211216001656 CA Part B Supplier - Clinic/Group Practice 8729479225 Receives reassigned benefits from 19 practitioners
Practice locations: Glendale, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1942971189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 W GLENOAKS BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011912",
            "telephone_number": "818-637-2200",
            "fax_number": "818-637-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 W GLENOAKS BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011912",
            "telephone_number": "818-637-2200",
            "fax_number": "818-637-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA CRITICAL CARE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "SAFAEE",
        "authorized_official_first_name": "SAEID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-337-8870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "saeid.safaee@scpcca.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "EclinicalWorks Direct",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1511 W Glenoaks Blvd",
            "city": "Glendale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "912011912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.