Clinica la Victoria a Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

PA20231 Issued in CA

Legal business name

CLINICA LA VICTORIA A MEDICAL CORPORATION

Practice address

3940 San Dimas St
Bakersfield, CA 93301-1458

Phone

(661) 322-2164

Fax

(661) 322-2178

NPI assigned

Mar 25, 2016

Last updated

Mar 25, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Juan Corona, PA

Title

Owner

Phone

(661) 322-2164

Specialties & licenses 1

Addresses

Tax ID family

Clinica la Victoria3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Clinica la Victoria a Medical Corporation

  • General Practice Physician
  • Bakersfield, CA
  • NPI 1184777922
  NPD tax ID
• Clinica la Victoria AMC

  • Family Medicine Physician
  • Bakersfield, CA
  • NPI 1790240125
  NPD tax ID

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1659733905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 SAN DIMAS ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011458",
            "telephone_number": "661-322-2164",
            "fax_number": "661-322-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 SAN DIMAS ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011458",
            "telephone_number": "661-322-2164",
            "fax_number": "661-322-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA LA VICTORIA A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "CORONA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-322-2164",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "PA20231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindi Clifton
• Clinca Sierra Vista
• Clinca Sierra Vista
• Debra Clinger
• Clinica la Victoria a Medical Corporation
• Clinica la Victoria AMC
• Clinica Sierra Vista (South Bakersfield Community Health Center)
• Clinica Sierra Vista (Old Town Kern Community Health Center)
• Clinica Sierra Vista (Family Health Center)
• Clinica Sierra Vista (South Bakersfield Community Health Center)

• Family Medicine Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.