NPIMap

Organization Active NPI

Victor Cordova Psy.D a Psychological Corp.

  • Clinical Psychologist
  • Rancho Cucamonga, CA
National Provider Identifier
1821671454
Registry record updated May 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
VICTOR CORDOVA PSY.D A PSYCHOLOGICAL CORP.
Practice address
9033 Baseline Rd Ste a
Rancho Cucamonga, CA 91730-1214
Phone
(909) 922-2442
Fax
(909) 999-2377
NPI assigned
May 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2021

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

Authorized official

Name
Dr. Victor Cordova, PSY.DNPI 1043642341
Title
Owner
Phone
(909) 922-2442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

9033 Baseline Rd Ste a
Rancho Cucamonga, CA 91730-1214

Mailing address

9033 Baseline Rd Ste a
Rancho Cucamonga, CA 91730-1214
Phone (909) 922-2442

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619913600000",
    "number": "1821671454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9033 BASELINE RD STE A",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301214",
            "telephone_number": "909-922-2442",
            "fax_number": "909-999-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9033 BASELINE RD STE A",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301214",
            "telephone_number": "909-922-2442",
            "fax_number": "909-999-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR CORDOVA PSY.D A PSYCHOLOGICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-02",
        "last_updated": "2021-05-02",
        "certification_date": "2021-05-02",
        "status": "A",
        "authorized_official_last_name": "CORDOVA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-922-2442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2021; 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.