Active NPI
Victoria Silibaziso Razgunas, DNP, FNP-BC
- Family Nurse Practitioner
- Surprise, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95009987
- Practice address
- 14780 W Mountain View Blvd Ste 110
Surprise, AZ 85374-7280 - Phone
- (623) 374-7774
- Fax
- (855) 420-6361
- NPI assigned
- Sep 13, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95009987 | CA | Primary |
Addresses
Primary practice location
14780 W Mountain View Blvd Ste 110
Surprise, AZ 85374-7280
Mailing address
PO Box 486
Weimar, CA 95736-0486
Phone (530) 637-4025
Other practice location 1
2601 Paoli Lane
Weimar, CA 95736-0486
Phone (530) 637-4025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95009987 | Other | CA | FNP-BC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 N Ih 35
Austin, TX 78701-1926
1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300
319 Congress Ave
Suite 100
Austin, TX 78701-3692
Phone (512) 491-1095
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95009987 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Medical Group of Texas, P.a. | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients | |
| Newstart Medical Group Inc | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients |
Locations
319 Congress Ave
Ste 100
Austin, TX 78701
Phone (512) 491-1095
1900 Aldrich St
Ste 150
Austin, TX 78723
Phone (512) 491-1095
3001 Palm Way
Ste 134
Austin, TX 78758
Phone (512) 491-1095
1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300
319 Congress Ave
Austin, TX 78701
Organizations & group practices 5
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.
-
- Neurological Surgery Physician
- Austin, TX
- NPI 1588997233
-
- Rural Health Clinic/Center
- Weimar, CA
- NPI 1588072698
-
- Family Medicine Physician
- Austin, TX
- NPI 1770167827
-
- Family Medicine Physician
- Austin, TX
- NPI 1225644065
-
- Radiology Clinic/Center
- Austin, TX
- NPI 1275290694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623024000000",
"number": "1609359892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 486",
"city": "WEIMAR",
"state": "CA",
"postal_code": "957360486",
"telephone_number": "530-637-4025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14780 W MOUNTAIN VIEW BLVD STE 110",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853747280",
"telephone_number": "623-374-7774",
"fax_number": "855-420-6361"
}
],
"practiceLocations": [
{
"address_1": "2601 Paoli Lane",
"address_purpose": "LOCATION",
"city": "Weimar",
"state": "CA",
"postal_code": "957360486",
"country_code": "US",
"telephone_number": "530-637-4025",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAZGUNAS",
"first_name": "VICTORIA",
"middle_name": "SILIBAZISO",
"name_prefix": "Dr.",
"credential": "DNP, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-13",
"last_updated": "2021-06-07",
"certification_date": "2021-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95009987",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FNP-BC",
"identifier": "95009987",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.