MEDICARE: VISTA HILL FOUNDATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0855X	Adolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number	:	1205781341
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISTA HILL FOUNDATION

Provider Business Mailing Address
First Line	:	8910 CLAIREMONT MESA BLVD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-1104
Country	:	US
Telephone Number	:	858-514-5100
Fax Number	:	858-514-5190

Provider Business Practice Location Address
First Line	:	425 W 5TH AVE STE 101
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92025-4843
Country	:	US
Telephone Number	:	760-258-4780
Fax Number	:	760-280-8335

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	ROBERT EMERY DEAN
Credential	:
Telephone Number	:	619-921-2036

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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Directions to “VISTA HILL FOUNDATION ” Practice Location

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