MEDICARE: VISTA PACIFICA ENTERPRISES

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	314000000X	Skilled Nursing Facility		CA
2	314000000X	Skilled Nursing Facility		CA

General Provider Information

NPI Number	:	1942206305
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISTA PACIFICA ENTERPRISES

Provider Business Mailing Address
First Line	:	3674 PACIFIC AVE
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92509-1948
Country	:	US
Telephone Number	:	951-682-4833
Fax Number	:	951-682-1503

Provider Business Practice Location Address
First Line	:	3662 PACIFIC AVE
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92509-1948
Country	:	US
Telephone Number	:	951-682-4833
Fax Number	:	951-274-4696

Authorized Official
Title or Position	:	EXECUTIVE VICE PRESIDENT
Name	:	MS. CHERYL B JUMONVILLE
Credential	:
Telephone Number	:	951-682-4833

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1609897222 — VISTA PACIFICA ENTERPRISES INC.
Practice Location Address:

3662 PACIFIC AVE
RIVERSIDE, CA
92509-1948

Practice Phone: 951-682-4833
Practice Fax: 951-682-1503

1588734164 — VISTA PACIFICA ENTERPRISES INC.
Practice Location Address:

3674 PACIFIC AVE
RIVERSIDE, CA
92509-1948

Practice Phone: 951-682-4833
Practice Fax: 951-682-1503

1619142684 — AMY L TRESKY
Practice Location Address:

3686 PACIFIC AVE
RIVERSIDE, CA
92509-1948

Practice Phone: 951-663-4842
Practice Fax:

1376718346 — GAIL JUNE TEHAN L.V.N.
Practice Location Address:

3686 PACIFIC AVE
RIVERSIDE, CA
92509-1948

Practice Phone: 951-663-4842
Practice Fax:

1609043728 — ALICIA GARCIA
Practice Location Address:

3686 PACIFIC AVE
RIVERSIDE, CA
92509-1948

Practice Phone: 951-663-4842
Practice Fax:

1205003225 — PAMELA MILLER
Practice Location Address:

3686 PACIFIC AVE
RIVERSIDE, CA
92509-1948

Practice Phone: 951-663-4842
Practice Fax:

Directions to “VISTA PACIFICA ENTERPRISES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.