VISTA PACIFICA ENTERPRISES,INC
NPI 1013032606
Intermediate Care Facility, Intellectual Disabilities in Rialto, CA

Q: What is Gardena House's NPI number?

The NPI number for Gardena House is 1013032606. It was assigned to this organization in the NPPES registry on March 20, 2007. The provider is also known as Vista Pacifica Enterprises,inc.

Q: What is Gardena House's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Q: When was this NPI record last updated?

The NPPES record for Gardena House was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 20, 2007CLIA 05D0575842 · Waiver

1041 N GARDENA AVE, RIALTO, CA 92376(909) 874-7690(909) 874-8689 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Vista Pacifica Enterprises,inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VISTA PACIFICA ENTERPRISES,INC (NPI 1013032606) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Rialto, California and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Cheryl B Jumonville, Exec Vice President, as its authorized official.

NPPES Registry Identity

NPI1013032606

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameGARDENA HOUSE

Location Address1041 N GARDENA AVERialto, CA 92376-4214

Mailing Address3674 Pacific AveRiverside, CA 92509-1948 · (951) 682-4833 · Fax (951) 682-1503

Phone(909) 874-7690

Fax(909) 874-8689

Organization SubpartNo

Authorized OfficialCheryl B JumonvilleExec Vice President · (951) 682-4833

Enumeration DateMarch 20, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1013032606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

1041 N GARDENA AVE, Rialto, CA 92376

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Other Names 1

Other NameVista Pacifica Enterprises,inc

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0575842

Vista Pacifica Center · Riverside, CA

Active · expires Aug 31, 2026

CLIA Number05D0575842

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorWilliam Thompson

Laboratory Phone(909) 682-4833

Laboratory LocationVista Pacifica Center3674 Pacific Ave, Riverside, CA 92509

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gardena House's NPI number?

The NPI number for Gardena House is 1013032606. It was assigned to this organization in the NPPES registry on March 20, 2007. The provider is also known as Vista Pacifica Enterprises,inc.

Where is Gardena House located?

Gardena House is located at 1041 N Gardena Ave, Rialto, CA 92376. The listed phone number is (909) 874-7690.

What is Gardena House's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Gardena House hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0575842) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gardena House was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.