Victoria Maria Jacquez

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

636 1/2 W Raymond St
Compton, CA 90220-4410

Phone

(310) 631-5513

Fax

(310) 609-2403

NPI assigned

Aug 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187827200000",
    "number": "1346433240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 1/2 W RAYMOND ST",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902204410",
            "telephone_number": "310-631-5513",
            "fax_number": "310-609-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 1/2 W RAYMOND ST",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902204410",
            "telephone_number": "310-631-5513",
            "fax_number": "310-609-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUEZ",
        "first_name": "VICTORIA",
        "middle_name": "MARIA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronnie Islam
• Zakiyyah Iman Islam
• Elliana Ixta Madera
• Dwaine Jackson
• Shannon Jackson, RN
• Margarita Jaime
• Mohsen N/a Jamei, MD
• James S. Byas, Jr., D.D.S. M.S. a Professional Corporation
• Alice Elizabeth James, R.N
• Alyssa James

• Addiction (Substance Use Disorder) Counselor in Compton, CA
• Providers in Compton, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.