Naco Medical Group

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A30874 Issued in CA

Legal business name

NACO MEDICAL GROUP

Practice address

15203 11TH St
Suite E
Victorville, CA 92395-3737

Phone

(760) 245-3719

Fax

(760) 951-1626

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Virgilio V. Naco, M.D.

Title

Ceo

Phone

(760) 619-3719

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780749051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15203 11TH ST",
            "address_2": "SUITE E",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953737",
            "telephone_number": "760-245-3719",
            "fax_number": "760-951-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15203 11TH ST",
            "address_2": "SUITE E",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953737",
            "telephone_number": "760-245-3719",
            "fax_number": "760-951-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NACO MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NACO",
        "authorized_official_first_name": "VIRGILIO",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-619-3719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A30874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Victorville, CA
• Providers in Victorville, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.