Individual provider Active NPI

Toryonn Patrick Jefferson

  • Peer Specialist
  • Visalia, CA
National Provider Identifier
1124910062
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
MPSS-WBAMFP Issued in CA
Practice address
1223 S Lovers LN
Visalia, CA 93292-5249
Phone
(553) 931-1001
Fax
(559) 802-3489
NPI assigned
Jul 16, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X MPSS-WBAMFP CA Primary

Addresses

Primary practice location

1223 S Lovers LN
Visalia, CA 93292-5249

Mailing address

1223 S Lovers LN
Visalia, CA 93292-5249
Phone (553) 931-1001

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
MPSS-WBAMFPCAMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kings View Corporation CurrentSince Jul 22, 2025 Accepting new patients

Locations

1223 S Lovers Ln
Visalia, CA 93292
Phone (559) 931-1001

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": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1124910062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 S LOVERS LN",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932925249",
            "telephone_number": "553-931-1001",
            "fax_number": "559-802-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 S LOVERS LN",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932925249",
            "telephone_number": "553-931-1001",
            "fax_number": "559-802-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "TORYONN",
        "middle_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-WBAMFP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.