Victory Med-Trans

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

0609693 Issued in CA

Legal business name

VICTORY MED-TRANS

Practice address

19726 Chicory CT
Apple Valley, CA 92308-3629

Phone

(760) 265-5545

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Akele Feseha

Title

Partner

Phone

(760) 265-5545

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376759993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1214",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923931214",
            "telephone_number": "760-265-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19726 CHICORY CT",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923083629",
            "telephone_number": "760-265-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY MED-TRANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FESEHA",
        "authorized_official_first_name": "AKELE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "760-265-5545"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "0609693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vishal Verma, PA-C
• Eduardita Eolani Vicencio, M.D.
• Victor C Moneke MD Inc
• Victor Valley Neurology, Inc
• Victor Valley Primary Care, Inc.
• Vijay Arora, M.D., Inc.
• Carinthia Villa Fernandez
• Carissa Faye Villa, M.S., M.A.
• Elizabeth Guadalupe Villa, AA
• Lori M Villa

• Non-emergency Medical Transport (VAN) in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.