Active NPI
Victoria G Lebron, N.P.
- Family Medicine Physician
- San Diego, CA
National Provider Identifier
1477764462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 228777
- Practice address
- 2937 Beyer Blvd
San Diego, CA 92154-4604 - Phone
- (619) 423-0343
- Fax
- (619) 423-3746
- NPI assigned
- May 24, 2007
- Last updated
- Jan 19, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 228777 | CA | |
| Family Medicine Physician | 207Q00000X | 228777 | CA | Primary |
Addresses
Primary practice location
2937 Beyer Blvd
San Diego, CA 92154-4604
Mailing address
340 4TH Ave Ste 11
Chula Vista, CA 91910-3813
Phone (619) 422-6158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 228777 | Other | CA | LICENSE |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228777 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326931200000",
"number": "1477764462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 4TH AVE STE 11",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919103813",
"telephone_number": "619-422-6158",
"fax_number": "619-422-2019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2937 BEYER BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921544604",
"telephone_number": "619-423-0343",
"fax_number": "619-423-3746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBRON",
"first_name": "VICTORIA",
"middle_name": "G",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2012-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "228777",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "228777",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "228777",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.