CLINICA LA VICTORIA AMC (NPI# 1790240125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790240125 |
| Entity Type | Organization |
| Organization Name | CLINICA LA VICTORIA AMC |
| Practice Address |
2303 S Union Ave Suite E9 Bakersfield CA 93307 |
| Practice Telephone | 6618352600 |
| Practice Fax Number | 6618352603 |
| Mailing Telephone | 6618352600 |
| Mailing Fax Number | 6618352603 |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |
| Authorized Official Name | JUAN CORONA (PROVIDER) |
| Authorized Official Telephone | 6618352600 |
| Authorized Official Credential | PAC |
| Is Organization Subpart | Y |
| Parent Organization Name | CLINICA LA VICTORIA AMC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI TO MAIN CORP | 1184777922 | 01 |
| Other Name | Type Code |
|---|---|
| La Victoria Women and Children's Center | Other Name - Individual/Organization |
| Street Address |
2303 S UNION AVE SUITE E9 |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184777922 | Clinica La Victoria A Medical Corporation | Obstetrics & Gynecology | 2303 S Union Ave, Suite C2, Bakersfield, CA 93307-4677 | 2007-01-18 |
| 1235623240 | Access Urgent Care | Clinic/Center | 2303 S Union Ave, Suite C1, Bakersfield, CA 93307 | 2018-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669936183 | New Leaf Pharmacy Inc | Pharmacy | 2303 S Union Ave Unit E8, Bakersfield, CA 93307 | 2019-01-29 |
| 1740744986 | Dora Robledo | Case Manager/Care Coordinator | 1600 E Belle Terrace Avenue, Bakersfield, CA 93307 | 2019-01-22 |
| 1083107890 | Sabrina Johnson | Case Manager/Care Coordinator | 1600 E Belle Terrance, Bakersfield, CA 93307 | 2018-06-07 |
| 1346799145 | Amandeep Singh | Physical Therapist | 1718 Panama Ln, Appt 904, Bakersfield, CA 93307 | 2016-09-22 |
| 1124478821 | Rafael Gomez | Case Manager/Care Coordinator | 1600 E Belle Terrace, Bakersfield, CA 93307 | 2016-06-14 |
| 1669820098 | Corinne Campbell | Licensed Vocational Nurse | 1010 1/2 South Union, Bakersfield, CA 93307 | 2016-05-26 |
| 1174992523 | Sean Battle Sr. | Case Manager/Care Coordinator | 325 E. Fairview Rd, Bakersfield, CA 93307 | 2015-09-16 |
| 1447634787 | Christina Elizabeth Cortez | Case Manager/Care Coordinator | 1600 E. Belle Terrace, Bakersfield, CA 93307 | 2015-07-16 |
| 1043693252 | Ramon Audelo Jr. | Social Worker | 800 Ming Ave, Bakersfield, CA 93307 | 2015-07-07 |
| 1023415882 | Way'ztown Inc | Non-emergency Medical Transport (VAN) | 1326 E California Ave, Bakersfield, CA 93307 | 2014-11-21 |
| Find all providers in zip 93307 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790112 | Universal Healthcare Services, Inc. | Family Medicine | 6025 Niles St, Bakersfield, CA 93306-4696 | 2020-11-04 |
| 1265068092 | Universal Healthcare Services, Inc. | Family Medicine | 2123 Niles Street, Bakersfield, CA 93305-5007 | 2020-03-12 |
| 1326693524 | Yaqsa, Inc. | Family Medicine | 4040 San Dimas St Ste A, Bakersfield, CA 93301-1299 | 2019-08-05 |
| 1477117240 | Kristi Sakamoto | Family Medicine | 9330 Stockdale Hwy Ste 200, Bakersfield, CA 93311-3615 | 2019-04-26 |
| 1568928471 | Natalia Obando Cabrejo | Family Medicine | 9880 Brimhall Rd Unit 100, Bakersfield, CA 93312-2799 | 2019-02-15 |
| 1538623541 | Universal Healthcare Services, Inc. | Family Medicine | 8325 Brimhall Rd Ste 100a, Bakersfield, CA 93312-2244 | 2019-01-23 |
| 1508320797 | Universal Healthcare Services, Inc. | Family Medicine | 2734 Ming Ave, Bakersfield, CA 93304-4431 | 2019-01-22 |
| 1023502853 | Kendall Christine Lubatti | Family Medicine | 8307 Brimhall Rd Ste 1707, Bakersfield, CA 93312-4343 | 2018-06-15 |
| 1588153126 | Infusion and Clinical Services, Inc | Family Medicine | 5401 White Ln Ste A, Bakersfield, CA 93309-6279 | 2018-05-09 |
| 1629576384 | Universal Urgent Care, PC | Family Medicine | 2728 Ming Ave, Bakersfield, CA 93304-4431 | 2018-01-29 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93307 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.