Misael G. Victoria Michaca

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

1902 Orange Tree LN Ste 200
Redlands, CA 92374-2800

Phone

(909) 798-6200

Fax

(909) 798-6210

NPI assigned

Aug 3, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Telecare

  • Peer Specialist
  • Perris, CA
  • NPI 1992320329
  NPD

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1801578281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21550 BOX SPRINGS RD APT 1080",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925576715",
            "telephone_number": "951-502-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 ORANGE TREE LN STE 200",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742800",
            "telephone_number": "909-798-6200",
            "fax_number": "909-798-6210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Ramona Expy",
            "address_purpose": "LOCATION",
            "city": "Perris",
            "state": "CA",
            "postal_code": "925717014",
            "country_code": "US",
            "telephone_number": "951-349-4195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICTORIA MICHACA",
        "first_name": "MISAEL",
        "middle_name": "G.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-03",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Edith Victoria
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• Vigilans Hospice Care, Inc.

• Marriage & Family Therapist in Redlands, CA
• Providers in Redlands, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.