Individual provider Active NPI

Victoria Isiev, NP

  • Nurse Practitioner
  • Santa Clarita, CA
National Provider Identifier
1306628623
Registry record updated Oct 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95027788 Issued in CA
Practice address
27141 Hidaway Ave Ste 204
Santa Clarita, CA 91351-4147
Phone
(661) 297-1177
NPI assigned
Oct 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95027788 CA Primary

Addresses

Primary practice location

27141 Hidaway Ave Ste 204
Santa Clarita, CA 91351-4147

Mailing address

28363 Floret LN
Santa Clarita, CA 91350-3285
Phone (818) 332-6047

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231219002056 CA Practitioner - Nurse Practitioner 9335599281 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95027788CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PC Medical Clinic Inc CurrentSince Nov 6, 2023 Accepting new patients

Locations

1523 W Avenue J
Ste 7
Lancaster, CA 93534
Phone (661) 945-2221

1601 W Avenue J
Lancaster, CA 93534
Phone (661) 945-2716

27141 Hidaway Ave
Ste 204
Santa Clarita, CA 91351
Phone (661) 397-1177

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1697760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697846400000",
    "number": "1306628623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28363 FLORET LN",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913503285",
            "telephone_number": "818-332-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27141 HIDAWAY AVE STE 204",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913514147",
            "telephone_number": "661-297-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISIEV",
        "first_name": "VICTORIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-10-21",
        "certification_date": "2023-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95027788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.