Active NPI
Victoria Veronica Ascencio
- Registered Nurse
- La Mirada, CA
National Provider Identifier
1124755251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95071794
- Practice address
- 14885 Telegraph Rd
La Mirada, CA 90638-1060 - Phone
- (562) 777-3405
- NPI assigned
- Aug 8, 2022
- Last updated
- Aug 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95071794 | CA | Primary |
Addresses
Primary practice location
14885 Telegraph Rd
La Mirada, CA 90638-1060
Mailing address
14885 Telegraph Rd
La Mirada, CA 90638-1060
Phone (562) 777-3405
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | victoria.ascencio@walgreens.com |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95071794 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
14885 Telegraph Rd
La Mirada, CA 90638
Phone (562) 777-3405
Interoperability endpoints
- victoria.ascencio@walgreens.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659916800000",
"number": "1124755251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14885 TELEGRAPH RD",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906381060",
"telephone_number": "562-777-3405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14885 TELEGRAPH RD",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906381060",
"telephone_number": "562-777-3405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASCENCIO",
"first_name": "VICTORIA",
"middle_name": "VERONICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-08",
"last_updated": "2022-08-08",
"certification_date": "2022-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95071794",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "victoria.ascencio@walgreens.com",
"affiliation": "N",
"address_1": "14885 Telegraph Rd",
"city": "LA Mirada",
"state": "CA",
"country_code": "US",
"postal_code": "906381060",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in La Mirada, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.