Maria Nimfa Raymundo Victoria, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42442 Issued in CA

Practice address

1559 E Amar Rd
Suite G
West Covina, CA 91792-1679

Phone

(626) 964-7599

Fax

(626) 912-3410

NPI assigned

Aug 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699786491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1559 E AMAR RD",
            "address_2": "SUITE G",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917921679",
            "telephone_number": "626-964-7599",
            "fax_number": "626-912-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1559 E AMAR RD",
            "address_2": "SUITE G",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917921679",
            "telephone_number": "626-964-7599",
            "fax_number": "626-912-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTORIA",
        "first_name": "MARIA NIMFA",
        "middle_name": "RAYMUNDO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL PROVIDER NUMBER",
            "identifier": "B42442-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Venus International Languages Services
• Cristina Verduzco Munoz
• Jasmine Verduzco
• Stephanie Vergara
• Lady Viado
• Megan Victoria
• Victoria Michelle Vidales
• Vigliarolo DDS Dental Corp
• Paola Vigo
• Elijah Villagomez

• General Practice Dentistry in West Covina, CA
• Providers in West Covina, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.