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Vistamed Corp

Community/Retail Pharmacy in Carson, CA · enumerated 2015 · authorized official Jimson Bacolod, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417349978

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Registry record

Entity type Organization (Type 2)
Legal business name Vistamed Corp
Other name <Unavail>
Practice address 141 W Carson St, Carson, CA, 90745
Phone (424) 280-3022
Fax (424) 264-5607
Enumeration date Feb 20, 2015
Last updated in NPPES May 22, 2024

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers Primary
3336L0003X Long Term Care Pharmacy Suppliers Secondary

Authorized official

Name Jimson Bacolod
Title Owner
Phone (424) 280-3022

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Vistamed Corp?
The NPI for Vistamed Corp is 1417349978, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Vistamed Corp?
NPPES lists Jimson Bacolod (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-05-22.