Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vista Healthcare LLC

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1417582875

Vista Healthcare LLC is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Tempe, Arizona. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1001 E Warner Rd Ste 107
Tempe, AZ 85284-3224
Phone: (480) 897-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1417582875
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Buckner — Owner · (602) 421-2730
NPI enumeratedMarch 5, 2020
Last updated in NPPESMarch 5, 2020
Certification dateMarch 5, 2020
Mailing addressPo Box 11180, Tempe, AZ 85284-0020

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