PHSF Victor Valley, LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

PHSF VICTOR VALLEY, LLC

Practice address

15248 Eleventh St
Victorville, CA 92395-3704

Phone

(760) 245-8691

Fax

(760) 843-6020

NPI assigned

Sep 14, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Michael Joseph Sarrao

Title

Vice-President & General Counsel

Phone

(909) 235-4307

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1639487465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 E GUASTI RD",
            "address_2": "3RD FLOOR",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917618655",
            "telephone_number": "909-235-4307",
            "fax_number": "909-235-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15248 ELEVENTH ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953704",
            "telephone_number": "760-245-8691",
            "fax_number": "760-843-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHSF VICTOR VALLEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "SARRAO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "VICE-PRESIDENT & GENERAL COUNSEL",
        "authorized_official_telephone_number": "909-235-4307",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Wayne Phillips Jr.
• Natalie Lynn Phillips, SLP
• Sharon Lee Phillips, MA, MFT
• Tausha Phillips
• Phoenix House Orange County, Inc.
• PHV 6 Rcfe LLC
• Physicians' Surgery Center of Victorville LLC
• Jessica Lee Pichette
• Lesly Pickett, LVN
• Lisa Elizabeth Pierce-Aquino

• General Acute Care Hospital in Victorville, CA
• Providers in Victorville, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.