NPIMap

Organization Active NPI

Remi Vista, Inc.

  • Community/Behavioral Health Agency
  • Fortuna, CA
National Provider Identifier
1982234787
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
REMI VISTA, INC.
Practice address
3000 Newburg Rd
Fortuna, CA 95540-2555
Phone
(707) 268-8722
NPI assigned
Jan 21, 2020
Organization subpart
Yes
Parent organization
REMI VISTA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Authorized official

Name
Tracey Jo Monson
Title
Billing/Contracts Administrator
Phone
(530) 245-5808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3000 Newburg Rd
Fortuna, CA 95540-2555

Mailing address

PO Box 494100
Redding, CA 96049-4100
Phone (530) 245-5805

Other names 1

  • Remi Vista Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Remi Vista Services for Probation Youth11 organizations share this tax ID, including this one
Part of
Remi Vista Services for Probation Youth

Other organizations with this tax ID 10

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

Locations

3000 Newburg Rd
Fortuna, CA 95540
Phone (707) 268-8722

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1982234787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 494100",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960494100",
            "telephone_number": "530-245-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 NEWBURG RD",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955402555",
            "telephone_number": "707-268-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMI VISTA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REMI VISTA, INC.",
        "enumeration_date": "2020-01-21",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "MONSON",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "BILLING/CONTRACTS ADMINISTRATOR",
        "authorized_official_telephone_number": "530-245-5808"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Remi Vista Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Remi Vista Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fortuna, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.