Individual provider Active NPI

Victoria Belmes, LPN

  • Licensed Practical Nurse
  • Newport Beach, CA
National Provider Identifier
1124229174
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN17037 Issued in NV
Practice address
2000 Leeward LN
Newport Beach, CA 92660-3805
Phone
(949) 515-2091
Fax
(949) 515-2091
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN17037 NV Primary
Licensed Vocational Nurse 164X00000X VN193366 CA

Addresses

Primary practice location

2000 Leeward LN
Newport Beach, CA 92660-3805

Mailing address

4040 S Eastern Ave Ste 300
Las Vegas, NV 89119-0854
Phone (702) 463-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPN17037NVMDLicensed Practical Nurse
VN193366CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Jed Adam Enterprises, LLC CurrentSince Jan 7, 2024 Accepting new patients

Locations

4040 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 463-0300

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1124229174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 S EASTERN AVE STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190854",
            "telephone_number": "702-463-0300",
            "fax_number": "702-463-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 LEEWARD LN",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603805",
            "telephone_number": "949-515-2091",
            "fax_number": "949-515-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELMES",
        "first_name": "VICTORIA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NV",
            "license": "LPN17037",
            "primary": true
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN193366",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.