Victor Archuleta
Individual provider Active NPI Health Educator · Banning, CA
NPI 1487952412 · NPPES record last updated Feb 28, 2011
Key facts
- NPI
- 1487952412
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health Educator 174H00000X
- Practice address
- 245 N Murray St
Banning, CA 92220-5528 - Phone
- (951) 849-8812
- Fax
- (951) 755-8915
- NPI assigned
- Feb 28, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Home Support Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | Yes |
Addresses
Primary practice location
245 N Murray St
Banning, CA 92220-5528
Mailing address
245 N Murray St
Banning, CA 92220-5528
Phone (951) 849-8812
Other providers in Banning, CA
- Megan Marie Anderson
- Amy Mariko Andersson
- Julie Ann Andrews
- Laquette Andrews
- Valentina Archuleta
- Jessica Viviana Ardon
- Marcella Adria Arnold
- Paul Arredondo
- Catherine L. Arrogante
- Arrowhead Radiology Medical Group Inc
All providers in Banning, CA · Health Educator in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.