| NPI | 1023463189 |
|---|---|
| Doing Business As | VISTA PSYCHIATRIC AND PRIMARY CARE SERVICES |
| Entity Type | Organization |
| Authorized Contact | YONIS A MUDEY CEO 510-517-3156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health |
| 363LC1500X Nurse Practitioner Community Health | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2024-09-16 |