Victory Vicheavuth Heng

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

2201 E Anaheim St
Long Beach, CA 90804-3411

Phone

(562) 433-2490

Fax

(562) 433-0564

NPI assigned

Jun 7, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1629339403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043411",
            "telephone_number": "562-433-2490",
            "fax_number": "562-433-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043411",
            "telephone_number": "562-433-2490",
            "fax_number": "562-433-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENG",
        "first_name": "VICTORY",
        "middle_name": "VICHEAVUTH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darren Lajohn Hendon
• Thomas Ray Hendon, M.D.
• Joel Hendricks
• Jerry Allen Hendrix II
• Nancy Vann Heng
• Jason Henness
• Elle Hennessee
• Ashlyn Henning, OTD
• Chynel Henning, M.D.
• Callie Henningsen, AMFT

• Community Health Worker in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.