Active NPI
Victor Rico, PH.D.
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1841526969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 26750
- Practice address
- 1000 Veteran Ave
Box 957142
Los Angeles, CA 90095-7142 - Phone
- (310) 206-2981
- Fax
- (310) 794-4996
- NPI assigned
- Oct 23, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 26750 | CA | Primary |
Addresses
Primary practice location
1000 Veteran Ave
Box 957142
Los Angeles, CA 90095-7142
Mailing address
1000 Veteran Ave
Box 957142
Los Angeles, CA 90095-7142
Phone (310) 206-2981
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26750 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483920000000",
"number": "1841526969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 VETERAN AVE",
"address_2": "BOX 957142",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900957142",
"telephone_number": "310-206-2981",
"fax_number": "310-794-4996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 VETERAN AVE",
"address_2": "BOX 957142",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900957142",
"telephone_number": "310-206-2981",
"fax_number": "310-794-4996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICO",
"first_name": "VICTOR",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-23",
"last_updated": "2017-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "26750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.