Vistamed Corp
NPI 1417349978 · Community/Retail Pharmacy · Carson, CA
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vistamed Corp is a Community/Retail Pharmacy organization in Carson, CA (NPI 1417349978).
Provider details
- NPI number
- 1417349978
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jimson Bacolod, Owner(424) 280-3022
Specialties & taxonomies
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Vistamed Pharmacy
Registry dates
- Enumerated
- 2015-02-20
- Last updated
- 2024-05-22
- Certified
- 2024-05-22
Frequently asked questions
- What is Vistamed Corp's NPI number?
- Vistamed Corp's National Provider Identifier (NPI) is 1417349978, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vistamed Corp?
- Vistamed Corp is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Vistamed Corp located?
- Vistamed Corp's practice location on file with NPPES is 141 W Carson St, Carson, CA 90745-2602.
- What is Vistamed Corp's phone number?
- The practice phone number listed in the NPPES registry for Vistamed Corp is (424) 280-3022.
- Does Vistamed Corp accept Medicare?
- Vistamed Corp is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Vistamed Corp?
- The authorized official listed on Vistamed Corp's NPPES record is Jimson Bacolod, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vistamed Corp's NPI active?
- Yes — Vistamed Corp's NPI (1417349978) is active in the NPPES registry as of the last update on 2024-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.