VISTA WIAC
NPI 1053598979
Community/Behavioral Health in Vista, CA
About Vista Wiac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VISTA WIAC (NPI 1053598979) is a healthcare organization registered as a community/behavioral health in Vista, California and active in the NPI registry since January 2008. The organization holds 11 active CLIA laboratory certificates and lists Leeann Skorohod, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vista Wiac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
27Medicare enrollment records show 27 clinicians reassign Medicare billing to Vista Wiac, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 27Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 11
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 05D2267102
Exodus Recovery, Inc Mlk Urgent Care Center · Los Angeles, CACertificate of Waiver 05D2267106
Exodus Recovery, Inc Psychiatric Health Facility · Culver City, CACertificate of Waiver 05D2267108
Exodus Recovery, Inc · Los Angeles, CACertificate of Waiver 05D2266369
Exodus Recovery, Inc. Eastside Urgent Care Center · Los Angeles, CACertificate of Waiver 05D2266371
Exodus Recovery, Inc. Harbor Urgent Care Center · Torrance, CACertificate of Waiver 05D2266372
Exodus Recovery, Inc. Westside Urgent Care Center · Los Angeles, CAFrequently 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 Exodus Recovery, Inc.'s NPI number?
The NPI number for Exodus Recovery, Inc. is 1053598979. It was assigned to this organization in the NPPES registry on January 22, 2008. The provider is also known as Vista Wiac.
Where is Exodus Recovery, Inc. located?
Exodus Recovery, Inc. is located at 550 W Vista Way Ste 109, Vista, CA 92083. The listed phone number is (310) 945-3350.
What is Exodus Recovery, Inc.'s specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Exodus Recovery, Inc. enrolled in Medicare?
Yes. Exodus Recovery, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Exodus Recovery, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 4 Medicare specialties reassign their Medicare billing to Exodus Recovery, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (12), Marriage and Family Therapist (6) and Clinical Social Worker (5). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Exodus Recovery, Inc. hold CLIA laboratory certificates?
Yes. 11 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Exodus Recovery, Inc. was last updated on April 15, 2021. 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.
# Vista Wiac · NPI 1053598979
Community/Behavioral Health organization in Vista, California. Organization record, active in the CMS NPPES registry since January 22, 2008.
## Identity
- **NPI:** 1053598979 (Entity type: Organization)
- **Enumerated:** January 22, 2008
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Legal business name:** Exodus Recovery, Inc.
- **Organization subpart:** No
- **Authorized official:** Leeann Skorohod, COO
## Practice location
- **Address:** 550 W VISTA WAY STE 109, Vista, CA 92083-5707
- **Phone:** (310) 945-3350 · **Fax:** (310) 840-7023
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 27 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (12), Marriage and Family Therapist (6), Clinical Social Worker (5); 2 practice within 10 miles; [full list](https://npiprofile.com/npi/1053598979/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 15, 2021
- **CLIA laboratory certificates:** 11 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053598979) · Data from the CMS NPPES public registry.