Victoria Omuson

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

494863 Issued in CA

Practice address

9808 Venice Blvd
Suite 700
Culver City, CA 90232-2732

Phone

(310) 945-3350

Fax

(310) 840-7023

NPI assigned

Feb 9, 2011

Last updated

Oct 17, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Addis Medical Group a Medical CorporationGroup PAC ID 0941463335, 17 clinicians

William Gillespie and Associates IncGroup PAC ID 7517181373, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern California Hospital at Hollywood Hospital, Hollywood, CA, CCN 050135
• L a Downtown Medical Center Hospital, Los Angeles, CA, CCN 050763

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Addis Medical Group a Medical Corporation

  • Psychiatry Physician
  • Torrance, CA
  • NPI 1013289339
  Medicare reassignment Care Compare group NPD
• William Gillespie and Associates Inc.

  dba Gillespie and Associates

  • Psychiatry Physician
  • Glendora, CA
  • NPI 1558771246
  Medicare reassignment Care Compare group NPD
• Mendrix Medical Associates Inc

  • Psychiatry Physician
  • Gardena, CA
  • NPI 1104657642

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Pacific Heritage Medical Group Inc

  • Geriatric Psychiatry Physician
  • Westlake Village, CA
  • NPI 1467899450
  Medicare reassignment NPD

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

• L. a. Downtown Medical Center, LLC.

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1780183335
  Care Compare affiliation
• L. a. Downtown Medical Center, LLC.

  • Rehabilitation Hospital Unit
  • Los Angeles, CA
  • NPI 1982351565
  Care Compare affiliation
• Southern California Healthcare System, Inc

  dba Southern California Hospital at Hollywood, at Van Nuys, at Culver City

  • General Acute Care Hospital
  • Hollywood, CA
  • NPI 1023010113
  Care Compare affiliation

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1184920050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4570",
            "city": "PALOS VERDES PENINSULA",
            "state": "CA",
            "postal_code": "902749607",
            "telephone_number": "424-400-7748",
            "fax_number": "424-400-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9808 VENICE BLVD",
            "address_2": "SUITE 700",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322732",
            "telephone_number": "310-945-3350",
            "fax_number": "310-840-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMUSON",
        "first_name": "VICTORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-09",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "494863",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "494863",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Michelle Olivas, PSYD
• Ellen Y. Oliveira
• Olympus Radiology Medical Group Inc
• Omar Tirmizi, MD a Professional Corporation
• Yacoub Omar
• One for All: Healing Arts Center, Inc.
• One Health Laboratories, LLC
• Joshua Onia
• Edika Onubah
• Osita I Onugha, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Culver City, CA
• Providers in Culver City, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.