Victory Performance and Physical Therapy

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT37934 Issued in CA

Legal business name

VICTORY PERFORMANCE AND PHYSICAL THERAPY

Practice address

3865 Grand View Blvd
Los Angeles, CA 90066-4414

Phone

(424) 543-4336

NPI assigned

Aug 24, 2017

Organization subpart

No

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

Authorized official

Name

Santo Stefano RivaNPI 1053609826

Title

President

Phone

(424) 543-4336

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Santo Stefano Riva, PT

  • Physical Therapist
  • Culver City, CA
  • NPI 1053609826
  NPD (past) Authorized official
• Emmanuel Eli Maldonado, CMT

  • Massage Therapist
  • Los Angeles, CA
  • NPI 1487433058
  NPD (past)

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1609393396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10458 LORENZO PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900644451",
            "telephone_number": "424-543-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3865 GRAND VIEW BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900664414",
            "telephone_number": "424-543-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY PERFORMANCE AND PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "RIVA",
        "authorized_official_first_name": "SANTO",
        "authorized_official_middle_name": "STEFANO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "424-543-4336"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT37934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victory Business Association Inc.
• Victory Business Associaton Inc.
• Victory Care
• Victory Community Hospice Inc
• Victory Emergency Physicians Medical Group Inc
• Victory Starts Now, Inc
• Christopher Victory
• Marisol Vicuna, OTR/L
• Patricia Vicuna
• Vicwest Medical Equipment & Supply Inc

• Orthopedic Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.