Active NPI
Lesly Pickett, LVN
- Multi-Specialty Clinic/Center
- Victorville, CA
National Provider Identifier
1407749369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- License
- 291868
- Practice address
- 13307 Dalmatian Way
Victorville, CA 92395-5312 - Phone
- (760) 713-5802
- NPI assigned
- May 30, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | 291868 | CA | Primary |
Addresses
Primary practice location
13307 Dalmatian Way
Victorville, CA 92395-5312
Mailing address
13307 Dalmatian Way
Victorville, CA 92395-5312
Phone (760) 713-5802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 291868 | CA | MD | Multi-Specialty Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748563200000",
"number": "1407749369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13307 DALMATIAN WAY",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923955312",
"telephone_number": "760-713-5802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13307 DALMATIAN WAY",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923955312",
"telephone_number": "760-713-5802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKETT",
"first_name": "LESLY",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-30",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "CA",
"license": "291868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.