Individual provider Active NPI

Victor Alexander Nuno, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Vallejo, CA
National Provider Identifier
1235392382
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
20A12654 Issued in CA
Practice address
805 Tuolumne St
Vallejo, CA 94590-4638
Phone
(707) 656-3453
Fax
(855) 225-6308
NPI assigned
Jul 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 262860 NY
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 20A12654 CA Primary

Addresses

Primary practice location

805 Tuolumne St
Vallejo, CA 94590-4638

Mailing address

550 Water St Ste K4
Santa Cruz, CA 95060-4136
Phone (831) 423-2298

Other practice location 1

365 Tuolumne St
Vallejo, CA 94590-5700
Phone (707) 567-5113

Other practice location 2

550 Water St Ste K4
Santa Cruz, CA 95060-4136
Phone (831) 423-2298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 22, 2021 through Oct 22, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A12654CAMDNeuromusculoskeletal Medicine & OMM Physician
262860NYMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seek Optimal Health a Professional Corporation Neuromusculoskeletal Medicine & Omm CurrentSince Jun 10, 2014 Accepting new patients

Locations

550 Water St
Ste K4
Santa Cruz, CA 95060
Phone (831) 212-3997

805 Tuolumne St
Vallejo, CA 94590
Phone (707) 656-3453

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.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1235392382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 WATER ST STE K4",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604136",
            "telephone_number": "831-423-2298",
            "fax_number": "855-225-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 TUOLUMNE ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945904638",
            "telephone_number": "707-656-3453",
            "fax_number": "855-225-6308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "365 Tuolumne St",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945905700",
            "country_code": "US",
            "telephone_number": "707-567-5113",
            "fax_number": "855-225-6308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Water St Ste K4",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950604136",
            "country_code": "US",
            "telephone_number": "831-423-2298",
            "fax_number": "855-225-6308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNO",
        "first_name": "VICTOR",
        "middle_name": "ALEXANDER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "262860",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "20A12654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

Verify at the official NPI Registry.