# VISTA PACIFICA ENTERPRISES INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Vista Pacifica Convalescent
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609897222
- **Authorized official:** MS. CHERYL B JUMONVILLE (ADMINISTRATOR)
- **Authorized official phone:** (951) 682-4833

## Contact information

- **Practice address:** 3662 PACIFIC AVE, RIVERSIDE, CA 92509-1948
- **Practice address phone:** (951) 682-4833
- **Practice address fax:** (951) 682-1503
- **Mailing address:** 3662 PACIFIC AVE, RIVERSIDE, CA 92509-1948
- **Mailing address phone:** (951) 682-4833
- **Mailing address fax:** (951) 682-1503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 250000116 | CA | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 10/28/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 250000116 | — | CA |