Individual provider Active NPI

Victoria T. Charoonratana

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Riverside, CA
National Provider Identifier
1245859271
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
A195153 Issued in CA
Practice address
7888 Mission Grove Pkwy S Ste 200
Riverside, CA 92508-5064
Phone
(909) 386-6000
NPI assigned
Apr 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X A195153 CA Primary

Addresses

Primary practice location

7888 Mission Grove Pkwy S Ste 200
Riverside, CA 92508-5064

Mailing address

7888 Mission Grove Pkwy S Ste 200
Riverside, CA 92508-5064

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210701001291 CA Order and Referring Only - Family PracticePractitioner - Family Practice 5395146039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vitas Healthcare Corporation of California Hospice and Palliative Medicine Past Accepting new patients
Vitas Healthcare Corporation of California Hospice and Palliative Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vcharoonratana1253359@direct.llu.edu

Organizations & group practices 2

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": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1245859271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7888 MISSION GROVE PKWY S STE 200",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925085064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7888 MISSION GROVE PKWY S STE 200",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925085064",
            "telephone_number": "909-386-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAROONRATANA",
        "first_name": "VICTORIA",
        "middle_name": "T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "A195153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.