Wael Sameer Victor

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

110419 Issued in CA

Practice address

763 Rio Rancho Rd Ste 120
Pomona, CA 91766-7015

Phone

(909) 242-7989

NPI assigned

Aug 3, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722643200000",
    "number": "1073343240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49107 CRANBERRY CT",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153407",
            "telephone_number": "586-668-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 RIO RANCHO RD STE 120",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917667015",
            "telephone_number": "909-242-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTOR",
        "first_name": "WAEL",
        "middle_name": "SAMEER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-03",
        "last_updated": "2024-08-03",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Vergis
• Veritas Testing Inc
• Bianca Vianson
• Vida Vickers, PHYSICIAN ASSISTANT
• Victor Treatment Centers, Inc.
• Edgar Victoria
• Cybil Vidal
• Lena Vidal, DMD
• Shirley Vidal
• Gladys Vides

• General Practice Dentistry in Pomona, CA
• Providers in Pomona, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.