VISTA PSYCHIATRIC AND PRIMARY CARE SERVICES
NPI 1023463189
Nurse Practitioner in Berkeley, CA

Q: What is Vista Psychiatric And Primary Care Services's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since April 26, 2016

2288 FULTON ST, SUITE 309, BERKELEY, CA 94704(510) 517-3156 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2024, Sep 10, 2024, Apr 12, 2024 and 1 more (4 updates tracked since 2020).

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About Vista Psychiatric And Primary Care Services NPPES

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

VISTA PSYCHIATRIC AND PRIMARY CARE SERVICES (NPI 1023463189) is a healthcare organization registered as a nurse practitioner in Berkeley, California and active in the NPI registry since April 2016. The organization lists Yonis A Mudey, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023463189

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameVISTA PSYCHIATRIC AND PRIMARY CARE SERVICES

Location Address2288 FULTON ST, SUITE 309Berkeley, CA 94704-1493

Mailing Address448 Ignacio BlvdNovato, CA 94949-6085

Phone(510) 517-3156

Organization SubpartNo

Authorized OfficialYonis A MudeyCeo · (510) 517-3156

Enumeration DateApril 26, 2016

Last NPPES UpdateSeptember 16, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2024

✔ NPI 1023463189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X

Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X

2288 FULTON ST, Berkeley, CA 94704

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Other Names 1

Doing Business AsVista Psychiatric And Primary Care Services

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Vista Psychiatric And Primary Care Services's NPI number?

The NPI number for Vista Psychiatric And Primary Care Services is 1023463189. It was assigned to this organization in the NPPES registry on April 26, 2016.

Where is Vista Psychiatric And Primary Care Services located?

Vista Psychiatric And Primary Care Services is located at 2288 Fulton St Suite 309, Berkeley, CA 94704. The listed phone number is (510) 517-3156.

What is Vista Psychiatric And Primary Care Services's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Vista Psychiatric And Primary Care Services was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.