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

Vista Psychiatric and Primary Care Services

Organization Nurse Practitioner · NPI 1023463189

Vista Psychiatric and Primary Care Services is a Nurse Practitioner in Berkeley, California. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
6

Practice location Address checks out

2288 Fulton St Ste 309
Berkeley, CA 94704-1493
Phone: (510) 517-3156
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Adult Health Nurse Practitioner Taxonomy 363LA2200X
Community Health Nurse Practitioner Taxonomy 363LC1500X
Family Nurse Practitioner Taxonomy 363LF0000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1023463189
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yonis Mudey — Ceo · (510) 517-3156
Other names Vista Psychiatric And Primary Care Services; Vista Psychiatric And Primary Care Services
NPI enumeratedApril 26, 2016
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024
Mailing address448 Ignacio Blvd, Novato, CA 94949-6085

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