Active NPI
Sarah Elizabeth Moses, LVN
- Licensed Vocational Nurse
- Victorville, CA
National Provider Identifier
1487174595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 29287
- Practice address
- 12625 Hesperia Rd
Victor Valley Behavioral Health Center
Victorville, CA 92395 - Phone
- (760) 995-8300
- NPI assigned
- Jun 21, 2017
- 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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 29287 | CA | Primary |
Addresses
Primary practice location
12625 Hesperia Rd
Victor Valley Behavioral Health Center
Victorville, CA 92395
Mailing address
12625 Hesperia Rd
Victor Valley Behavioral Health Center
Victorville, CA 92395
Phone (760) 995-8300
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1487174595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12625 HESPERIA RD",
"address_2": "VICTOR VALLEY BEHAVIORAL HEALTH CENTER",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "92395",
"telephone_number": "760-995-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12625 HESPERIA RD",
"address_2": "VICTOR VALLEY BEHAVIORAL HEALTH CENTER",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "92395",
"telephone_number": "760-995-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSES",
"first_name": "SARAH",
"middle_name": "ELIZABETH",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "29287",
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.