Victor A Branker, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY15530 Issued in CA

Practice address

5TH St & N Western Ave
Norco, CA 92860

Phone

(951) 737-2683

Fax

(951) 273-2974

NPI assigned

Jul 23, 2007

Sex

Male

Sole proprietor

Yes

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)

Enrolled

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1396945754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALIFORNIA REHABILITATION CENTER P.",
            "address_2": "5TH AND WESTERN AVE",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928600991",
            "telephone_number": "951-737-2683",
            "fax_number": "951-273-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5TH ST & N WESTERN AVE",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "92860",
            "telephone_number": "951-737-2683",
            "fax_number": "951-273-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANKER",
        "first_name": "VICTOR",
        "middle_name": "A",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY15530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Norco, CA
• Providers in Norco, CA by specialty
• Clinical Psychologist in California

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