Clinica la Victoria a Medical Corporation

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CLINICA LA VICTORIA A MEDICAL CORPORATION

Practice address

2303 S Union Ave
Suite C2
Bakersfield, CA 93307-4677

Phone

(661) 885-7007

Fax

(661) 735-3699

NPI assigned

Jan 18, 2007

Last updated

Feb 13, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Juan Corona, P.A.C.NPI 1043453202

Title

Provider

Phone

(661) 885-7007

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Clinica la Victoria AMC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Clinica la Victoria a Medical Corporation

  • Family Medicine Physician
  • Bakersfield, CA
  • NPI 1659733905
  NPD tax ID
• Clinica la Victoria AMC

  • Family Medicine Physician
  • Bakersfield, CA
  • NPI 1790240125
  NPD tax ID

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerry Steven Garcia, MD

  • Family Medicine Physician
  • La Habra Heights, CA
  • NPI 1881617397

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Terrance McGill, MD

  • Family Medicine Physician
  • Bakersfield, CA
  • NPI 1093219305
  Medicare reassignment NPD
• Jonathan Emeka Akanno, M.D.

  • Internal Medicine Physician
  • Delano, CA
  • NPI 1760680227
  Medicare reassignment
• Ronnie Claiborne, M.D.

  • General Practice Physician
  • Bakersfield, CA
  • NPI 1578503256
  Medicare reassignment
• Sonam Krishan, FNP-C

  • Family Nurse Practitioner
  • Riverside, CA
  • NPI 1710627435
  Medicare reassignment
• Juan Gabriel Corona, P.A.

  • Physician Assistant
  • Bakersfield, CA
  • NPI 1043453202
  Authorized official Same address or phone

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1184777922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 S UNION AVE",
            "address_2": "SUITE C2",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933074677",
            "telephone_number": "661-885-7007",
            "fax_number": "661-735-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 S UNION AVE",
            "address_2": "SUITE C2",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933074677",
            "telephone_number": "661-885-7007",
            "fax_number": "661-735-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA LA VICTORIA A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "CORONA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "661-885-7007",
        "authorized_official_credential": "P.A.C."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A61306",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colton Dale Clifton
• Mindi Clifton
• Clinca Sierra Vista
• Clinca Sierra Vista
• Debra Clinger
• Clinica la Victoria a Medical Corporation
• Clinica la Victoria AMC
• Clinica Sierra Vista (South Bakersfield Community Health Center)
• Clinica Sierra Vista (Old Town Kern Community Health Center)
• Clinica Sierra Vista (Family Health Center)

• General Practice Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.