Individual provider Active NPI

Victoria De Felice, N.P.

  • Adult Health Nurse Practitioner
  • West Hills, CA
National Provider Identifier
1134589088
Registry record updated Apr 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
95003931 Issued in CA
Practice address
7320 Woodlake Ave Ste 290
West Hills, CA 91307-1490
Phone
(818) 716-6446
NPI assigned
Mar 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 95003931 CA Primary
Gerontology Nurse Practitioner 363LG0600X 95003931 CA

Addresses

Primary practice location

7320 Woodlake Ave Ste 290
West Hills, CA 91307-1490

Mailing address

18050 Parthenia St
Northridge, CA 91325-3150
Phone (818) 618-8975

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160601002511 CA Practitioner - Nurse Practitioner 1951691047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mordo Suchov MD IncGroup PAC ID 8426102112, 15 clinicians

Practice addresses (Care Compare)

850 S Atlantic Blvd
Suite 202
Monterey Park, CA 91754-6706
Phone (213) 483-4500

Hospital & facility affiliations

  • Valley Presbyterian Hospital Hospital, Van Nuys, CA, CCN 050126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mordo Suchov MD Inc CurrentSince Nov 12, 2017 Accepting new patients

Locations

850 S Atlantic Blvd
Ste 202
Monterey Park, CA 91754
Phone (213) 483-4500

Interoperability endpoints

  • Direct secure messaging: victoria.defelice.p1@direct.lakeside.nextgenshare.com
  • Direct secure messaging: victoria.defelice@610288751673348.direct.elationemr.com

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461369600000",
    "number": "1134589088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18050 PARTHENIA ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913253150",
            "telephone_number": "818-618-8975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 WOODLAKE AVE STE 290",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071490",
            "telephone_number": "818-716-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE FELICE",
        "first_name": "VICTORIA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95003931",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95003931",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

Verify at the official NPI Registry.