Individual provider Active NPI

Victoria Irene Morris, CPSS

  • Peer Specialist
  • San Diego, CA
National Provider Identifier
1154156065
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
MPSS-ZLYPWM Issued in CA
Practice address
3575 Pershing Ave
San Diego, CA 92104-3413
Phone
(619) 294-4526
Fax
(833) 341-1107
NPI assigned
Sep 3, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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-ZLYPWM CA Primary

Addresses

Primary practice location

3575 Pershing Ave
San Diego, CA 92104-3413

Mailing address

3575 Pershing Ave
San Diego, CA 92104-3413
Phone (619) 294-4526

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-ZLYPWMCAMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
New Entra Casa Corporation PastSince Sep 8, 2024 Accepting new patients

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, 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": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1154156065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 PERSHING AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921043413",
            "telephone_number": "619-294-4526",
            "fax_number": "833-341-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 PERSHING AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921043413",
            "telephone_number": "619-294-4526",
            "fax_number": "833-341-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "VICTORIA",
        "middle_name": "IRENE",
        "credential": "CPSS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-ZLYPWM",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.