Victoria L Bazanos, DNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

95011450 Issued in CA

Practice address

11234 Anderson St
Schuman Pavilion SP-1617
Loma Linda, CA 92354

Phone

(800) 468-5432

NPI assigned

Apr 18, 2019

Sex

Female

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Faculty Physicians and Surgeons of LlusmGroup PAC ID 1153227814, 1,313 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Loma Linda University Medical Center Hospital, Loma Linda, CA, CCN 050327

Merit-based Incentive Payment System (MIPS)

Final score

88.87 of 100Reported as group

Quality

72.13

Promoting interoperability

80

Improvement activities

40

Cost

77.36

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vbazanos5266@direct.llu.edu

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.

• Faculty Physicians and Surgeons of Llusm

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Apple Valley, CA
  • NPI 1205009917

  CA

  Medicare reassignment Care Compare group NPD
• Faculty Physicians and Surgeons of Llusm

  • Orthopaedic Surgery Physician
  • Loma Linda, CA
  • NPI 1275582918
  Care Compare group NPD (past)
• Faculty Physicians and Surgeons of Llusm

  • Family Medicine Physician
  • Moreno Valley, CA
  • NPI 1558788331
  Care Compare group
• Faculty Physicians and Surgeons of Llusm

  • Orthopaedic Surgery Physician
  • Colton, CA
  • NPI 1669016499
  Care Compare group
• Faculty Physicians and Surgeons of Llusm

  • Ophthalmology Physician
  • San Bernardino, CA
  • NPI 1962452714
  Care Compare group
• Faculty Physicians and Surgeons of Llusm

  • Transplant Surgery Physician
  • Las Vegas, NV
  • NPI 1124560214
  Care Compare group
• Faculty Physicians and Surgeons of Llusm

  • Pediatric Urology Physician
  • Loma Linda, CA
  • NPI 1295900439
  NPD
• Loma Linda University Medical Center

  • General Acute Care Hospital
  • Loma Linda, CA
  • NPI 1194731935
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Loma Linda University Medical Center

  • General Acute Care Hospital
  • Loma Linda, CA
  • NPI 1194731935

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1124681887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 FOUNTAIN PL",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923737066",
            "telephone_number": "951-850-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11234 ANDERSON ST",
            "address_2": "SCHUMAN PAVILION SP-1617",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "92354",
            "telephone_number": "800-468-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZANOS",
        "first_name": "VICTORIA",
        "middle_name": "L",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-18",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95011450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jadelyn Bautista
• John Carbonell Bautista, M.D.
• David Baylink, M.D.
• Caron K Bayor, L.C.S.W
• Samuel Baz, M.D.
• Bbddd, Inc
• Kraig Beardemphl, MDIV
• Beaver Medical Group
• Patty Beaver, LSW
• Maria Patricia Becerra Garcia, DDS

• All providers in Loma Linda, CA
• Acute Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.