Victor M Celaya Jr.

Primary specialty

TechnicianTaxonomy code 374700000X

Practice address

2364 S 2ND St
El Centro, CA 92243-9642

Phone

(760) 332-1468

NPI assigned

Dec 13, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Jackson House El Centro

  • Mental Health Counselor
  • El Centro, CA
  • NPI 1063369528
  NPD (past)

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1194484576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2364 S 2ND ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922439642",
            "telephone_number": "760-332-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2364 S 2ND ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922439642",
            "telephone_number": "760-332-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELAYA",
        "first_name": "VICTOR",
        "middle_name": "M",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julissa Cazares
• Cedric M. Bautista M.D., a Medical Corporation
• Ceja & Singh a Medical Corporation
• Cristina Celaya
• Rosemary Celaya
• Adrian Celis
• Isis Centeno
• Central California Leg, Foot, and Ankle Center, Inc.
• Central Home Medical Inc.
• Central Union High School District

• Technician in El Centro, CA
• Providers in El Centro, CA by specialty
• Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.