Organization Active NPI

Victoria Medical Associates Inc

  • Geriatric Medicine (Family Medicine) Physician
  • La Palma, CA
National Provider Identifier
1265071195
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
VICTORIA MEDICAL ASSOCIATES INC
Practice address
5451 La Palma Ave Ste 15
La Palma, CA 90623-1758
Phone
(714) 230-8716
Fax
(714) 735-8762
NPI assigned
Dec 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Authorized official

Name
Dr. Xanthe Victoria, MDNPI 1447270418
Title
Director
Phone
(714) 230-8716

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

5451 La Palma Ave Ste 15
La Palma, CA 90623-1758

Mailing address

5451 La Palma Ave Ste 15
La Palma, CA 90623-1758
Phone (714) 230-8716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230127002808 CA Part B Supplier - Clinic/Group Practice 4981075074 Receives reassigned benefits from 1 practitioner
Practice locations: La Palma, CA

National Provider Directory

National Provider Directory

Locations

11701 Studebaker Rd
Norwalk, CA 90650
Phone (562) 868-9761

21414 S Vermont Ave
Torrance, CA 90502
Phone (310) 320-8714

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1265071195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5451 LA PALMA AVE STE 15",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231758",
            "telephone_number": "714-230-8716",
            "fax_number": "714-735-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5451 LA PALMA AVE STE 15",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231758",
            "telephone_number": "714-230-8716",
            "fax_number": "714-735-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "VICTORIA",
        "authorized_official_first_name": "XANTHE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-230-8716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Palma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.