Individual provider Active NPI

Victoria Silibaziso Razgunas, DNP, FNP-BC

  • Family Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1609359892
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95009987 Issued in CA
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

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
95009987OtherCAFNP-BC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190117003646 CA Practitioner - Nurse Practitioner 1355687351 Reassigns benefits to 1 organization
I20210714000236 TX Practitioner - Nurse Practitioner 1355687351 Reassigns benefits to 2 organizations

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
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

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

LicenseStateTypeSpecialty
95009987CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
One Medical Group of Texas, P.a. CurrentSince Nov 3, 2025 Accepting new patients
Seton Family of Doctors CurrentSince Jul 1, 2021 Accepting new patients
Seton Family of Doctors Current Accepting new patients
Newstart Medical Group Inc CurrentSince Oct 9, 2018 Accepting new patients
Seton Family of Doctors CurrentSince Jul 1, 2021 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.

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

Verify at the official NPI Registry.