Organization Active NPI

Rafaelito S Victoria LLC

  • Internal Medicine Physician
  • Bellflower, CA
National Provider Identifier
1770148918
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RAFAELITO S VICTORIA LLC
Practice address
10230 Artesia Blvd Ste 102
Bellflower, CA 90706-6768
Phone
(562) 866-1764
NPI assigned
May 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Authorized official

Name
Rafaelito S Victoria, MD
Title
Owner
Phone
(562) 866-1764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

10230 Artesia Blvd Ste 102
Bellflower, CA 90706-6768

Mailing address

10230 Artesia Blvd Ste 102
Bellflower, CA 90706-6768

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1770148918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10230 ARTESIA BLVD STE 102",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10230 ARTESIA BLVD STE 102",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066768",
            "telephone_number": "562-866-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAELITO S VICTORIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "VICTORIA",
        "authorized_official_first_name": "RAFAELITO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-866-1764",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.