Healthcare Provider Details

I. General information

NPI: 1225353337
Provider Name (Legal Business Name): VISTA HILL FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2010
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1012 MAIN ST STE A
RAMONA CA
92065-2170
US

IV. Provider business mailing address

1012 MAIN ST STE A
RAMONA CA
92065-2170
US

V. Phone/Fax

Practice location:
  • Phone: 760-350-9725
  • Fax: 760-788-9754
Mailing address:
  • Phone: 760-350-9725
  • Fax: 760-788-9754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DAVE TAYLOR
Title or Position: SENIOR DIRECTOR
Credential: PHD
Phone: 760-445-8211