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GENESIS VILLALTA CLARK
NPI 1851165716
Rehabilitation Practitioner in Oceanside, CA

Active since November 10, 2023
3605 VISTA WAY STE 258, OCEANSIDE, CA 92056(760) 758-1480 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2025, Nov 10, 2023 (2 updates tracked since 2023).

About Genesis Villalta Clark NPPES

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

GENESIS VILLALTA CLARK (NPI 1851165716) is an individual rehabilitation practitioner in Oceanside, California and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1851165716
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameGENESIS VILLALTA CLARK
Location Address3605 VISTA WAY STE 258Oceanside, CA 92056-4565
Mailing Address3605 Vista Way Ste 258Oceanside, CA 92056-4565 · (760) 758-1480 · Fax (760) 435-9472
Phone(760) 758-1480
Sole ProprietorNo
Enumeration DateNovember 10, 2023
Last NPPES UpdateApril 24, 20252 updates tracked since enumeration
NPPES CertifiedApril 24, 2025
✔ NPI 1851165716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
3605 VISTA WAY STE 258, Oceanside, CA 92056
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIANNA KIM BOWMAN
Marriage & Family Therapist
3605 VISTA WAY STE 258
OCEANSIDE, CA 92056
San Diego County (760) 758-1480
MRS. ERICA MARIA SANCHEZ
Counselor (Mental Health)
3605 VISTA WAY STE 258
OCEANSIDE, CA 92056
San Diego County (760) 758-1480
PEDRO BENYAMIN OSTROSKY SLOMIANSKI
Marriage & Family Therapist
3605 VISTA WAY STE 258
OCEANSIDE, CA 92056
San Diego County (760) 758-1480
HECTOR AVILA
Social Worker (Clinical)
3605 VISTA WAY STE 258
OCEANSIDE, CA 92056
San Diego County (760) 758-1480
DENISE ONEIL M.S.
Marriage & Family Therapist
3605 VISTA WAY STE 258
OCEANSIDE, CA 92056
San Diego County (760) 758-1480
VERNA ESPERO
Marriage & Family Therapist
3605 VISTA WAY STE 258
OCEANSIDE, CA 92056
San Diego County (760) 758-1480
IZA ZAZEL RUEDA
Rehabilitation Counselor
3605 VISTA WAY STE 258
OCEANSIDE, CA 92056
San Diego County (760) 758-1480
DOMINIQUE HASKELL
Student in an Organized Health Care Education/Training Program
3605 VISTA WAY STE 258
OCEANSIDE, CA 92056
San Diego County (760) 758-1480

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 Genesis Villalta Clark's NPI number?

The NPI number for Genesis Villalta Clark is 1851165716. It was assigned to this individual provider in the NPPES registry on November 10, 2023.

Where is Genesis Villalta Clark located?

Genesis Villalta Clark practices at 3605 Vista Way Ste 258, Oceanside, CA 92056. The listed phone number is (760) 758-1480.

What is Genesis Villalta Clark's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Genesis Villalta Clark was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.