Individual provider Active NPI

Victoria Arce

  • Clinical Social Worker
  • Ontario, CA
National Provider Identifier
1588048144
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSCW119247 Issued in CA
Practice address
1420 S Milliken Ave Ste 508
Ontario, CA 91761-2337
Phone
(909) 983-2020
Fax
(909) 966-5205
NPI assigned
Jul 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 91289 CA
Social Worker 104100000X ASW91289 CA
Clinical Social Worker 1041C0700X ASW91289 CA
Clinical Social Worker 1041C0700X LSCW119247 CA Primary

Addresses

Primary practice location

1420 S Milliken Ave Ste 508
Ontario, CA 91761-2337

Mailing address

1420 S Milliken Ave Ste 508
Ontario, CA 91761-2337
Phone (909) 983-2020

Other identifiers 1

IdentifierTypeStateIssuer
95-1946482MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251211001691 CA Practitioner - Clinical Social Worker 0244724714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2155 Chicago Ave
Suite 201
Riverside, CA 92507-2203

5669 Blanch Fields LN
Lucama, NC 27851-8821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW91289CAMDClinical Social Worker
LSCW119247CAMDClinical Social Worker
91289CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Health Network LLC Mental Health CurrentSince Sep 20, 2025 Accepting new patients

Locations

2155 Chicago Ave
Ste 201
Riverside, CA 92507
Phone (866) 744-1231

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1588048144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 S MILLIKEN AVE STE 508",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917612337",
            "telephone_number": "909-983-2020",
            "fax_number": "909-966-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 S MILLIKEN AVE STE 508",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917612337",
            "telephone_number": "909-983-2020",
            "fax_number": "909-966-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCE",
        "first_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "91289",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW91289",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW91289",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LSCW119247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95-1946482",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.