VISTA COMMUNITY CLINIC
NPI 1013391036
General Acute Care Hospital in Escondido, CA

NPI Status: Active since July 20, 2015

Contact Information

555 E VALLEY PKWY
ESCONDIDO, CA
ZIP 92025
Phone: (760) 631-5000

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  • Organization
  • General Acute Care Hospital
  • CLIA Number: 05D0968074
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 12-01-2025

About VISTA COMMUNITY CLINIC

This page provides the complete NPI Profile along with additional information for Vista Community Clinic, a provider established in Escondido, California operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1013391036 assigned on July 2015. The practitioner's primary taxonomy code is 282N00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Michelle Monroe (Revenue Cycle Director)

NPI
1013391036
Provider Name
VISTA COMMUNITY CLINIC
Entity Type
Organization
Location Address
555 E VALLEY PKWY ESCONDIDO, CA 92025
Location Phone
(760) 631-5000
Mailing Address
1000 VALE TERRACE DR VISTA, CA 92084
Mailing Phone
(760) 631-5000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-20-2015
Last Update Date
07-20-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Acute Care Hospital

Taxonomy Code
282N00000X
Type
Hospitals
Taxonomy Description
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHELLE MONROE

Authorized Official Title
REVENUE CYCLE DIRECTOR
Authorized Official Phone
(760) 216-5818

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0968074
Facility Type
Community Clinic
Certificate Effective Date
December 02, 2023
Certificate Expiration Date
December 01, 2025
Laboratory Director
SARAH FATLAND DO
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Vista Community Clinic in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013391036
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
202369206
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 6 + 9 + 2 + 0 + 6 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1013391036 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

HUABAO BOB LIN M.D.

Anesthesiology

555 E VALLEY PKWY
PALOMAR MEDICAL CENTER
ESCONDIDO, CA
ZIP 92025

(760) 739-3000

DEBORAH M MITCHELL M.D.

Anesthesiology

555 E VALLEY PKWY
PALOMAR MEDICAL CENTER
ESCONDIDO, CA
ZIP 92025

(760) 739-3000

MALINI M. REDDY M.D.

Anesthesiology

555 E VALLEY PKWY
PALOMAR MEDICAL CENTER
ESCONDIDO, CA
ZIP 92025

(760) 739-3000

MARK S GOLDSWORTHY M.D.

Anesthesiology

555 E VALLEY PKWY
PALOMAR MEDICAL CENTER
ESCONDIDO, CA
ZIP 92025

(760) 739-3000

RICHARD C ENGEL M.D.

Anesthesiology

555 E VALLEY PKWY
PALOMAR MEDICAL CENTER
ESCONDIDO, CA
ZIP 92025

(760) 739-3000

MILTON DAVID FRIEDMAN MD

Anesthesiology

555 E VALLEY PKWY
PALOMAR MEDICAL CENTER
ESCONDIDO, CA
ZIP 92025

(760) 739-3000

PIERRE R LOTZOF M.D.

Anesthesiology

555 E VALLEY PKWY
ESCONDIDO, CA
ZIP 92025

(760) 739-3000

MARCO SCOTT ROBIN D.O.

Anesthesiology

555 E VALLEY PKWY
PALOMAR MEDICAL CENTER
ESCONDIDO, CA
ZIP 92025

(760) 739-3000

CARL A MILLER M.D.

Anesthesiology

555 E VALLEY PKWY
ESCONDIDO, CA
ZIP 92025

(760) 739-3000

EDWARD M GURROLA II M.D.

Anesthesiology

555 E VALLEY PKWY
PALOMAR MEDICAL CENTER
ESCONDIDO, CA
ZIP 92025

(760) 739-3000

LEWIS RICHARD GREENSTEIN M.D.

Anesthesiology

555 E VALLEY PKWY
PALOMAR MEDICAL CENTER
ESCONDIDO, CA
ZIP 92025

(760) 739-3000

PAMELA EVA FADUL M.D.

Anesthesiology

555 E VALLEY PKWY
PALOMAR MEDICAL CENTER
ESCONDIDO, CA
ZIP 92025

(760) 739-3000

MARK JEFFREY SPIRO M.D.

Emergency Medicine

555 E VALLEY PKWY
ESCONDIDO, CA
ZIP 92025

(760) 739-3300

RICHARD L AUSTIN JR. MD

Anesthesiology

555 E VALLEY PKWY
PALOMAR MEDICAL CTR
ESCONDIDO, CA
ZIP 92025

(760) 739-3000

MONIQUE C MCCORMICK M.D.

Anesthesiology

555 E VALLEY PKWY
ESCONDIDO, CA
ZIP 92025

(760) 739-3000

KEVIN C. HUTTON M.D.

Emergency Medicine

555 E VALLEY PKWY
ESCONDIDO, CA
ZIP 92025

(760) 739-3300

CHARLOTTE KUTILEK NMW

Advanced Practice Midwife

555 E VALLEY PKWY
ESCONDIDO, CA
ZIP 92025

(760) 739-3144

MICHELE A. GRAD M.D.

Emergency Medicine

555 E VALLEY PKWY
ESCONDIDO, CA
ZIP 92025

(760) 739-3300

MARTIN ORETSKY M.D.

Emergency Medicine

555 E VALLEY PKWY
ESCONDIDO, CA
ZIP 92025

(760) 739-3300

BING SHIH PAO M.D.

Emergency Medicine

555 E VALLEY PKWY
ESCONDIDO, CA
ZIP 92025

(760) 739-3300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013391036, enumerated as an "organization" on July 20, 2015.

The provider is located at 555 E VALLEY PKWY ESCONDIDO, CA 92025 and the phone number is (760) 631-5000.

General Acute Care Hospital with taxonomy code 282N00000X.