Individual provider Active NPI

Veronica D Contreras, D.O.

  • Family Medicine Physician
  • Victorville, CA
National Provider Identifier
1275866568
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A10634 Issued in CA
Practice address
12370 Hesperia Rd
15
Victorville, CA 92395-7719
Phone
(760) 261-5292
NPI assigned
Sep 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A10634 CA Primary

Addresses

Primary practice location

12370 Hesperia Rd
15
Victorville, CA 92395-7719

Mailing address

4868 Rutile St
Riverside, CA 92509-3580
Phone (714) 308-8252

Other practice location 1

12550 Hesperia Rd Ste 100
Victorville, CA 92395-5873
Phone (760) 241-6666

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
I20150923001813 CA Practitioner - Family PracticePractitioner - General Practice 0749597789 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A10634CAMDFamily Medicine Physician
10634CAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince Jul 1, 2022 Accepting new patients
Memorialcare Medical Foundation Family Medicine CurrentSince Feb 12, 2020 Accepting new patients
Pih Health Physicians Family Medicine Current Accepting new patients
Pih Health Physicians CurrentSince Jul 1, 2022 Accepting new patients
Reuben C Castillo, Professional Corporation Past Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients
St Mary Specialty Clinic Past Accepting new patients
Providence Medical Foundation Family Medicine Past Accepting new patients

Locations

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592

11420 Warner Ave
Fountain Vly, CA 92708
Phone (714) 549-1300

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

12400 Bloomfield Ave
Santa Fe Springs, CA 90670
Phone (562) 789-5434

15725 Whittier Blvd
Whittier, CA 90603
Phone (562) 448-1350

Interoperability endpoints

  • Direct secure messaging: veronica.contreras.p2@direct.mpmccorp.nextgenshare.com
  • Direct secure messaging: veronica.contreras.p6@direct.mpmccorp.nextgenshare.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1275866568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4868 RUTILE ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925093580",
            "telephone_number": "714-308-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12370 HESPERIA RD",
            "address_2": "15",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957719",
            "telephone_number": "760-261-5292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12550 Hesperia Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923955873",
            "country_code": "US",
            "telephone_number": "760-241-6666",
            "fax_number": "760-243-2099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "VERONICA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A10634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.