NPIMap

Organization Active NPI

Victor Treatment Centers, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Lodi, CA
National Provider Identifier
1861551715
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
VICTOR TREATMENT CENTERS, INC.
Practice address
12755 N Highway 88
Lodi, CA 95240-9323
Phone
(209) 340-5800
Fax
(209) 340-5804
NPI assigned
Dec 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Lenny Ray Verser Jr.
Title
Cfo
Phone
(530) 893-0758

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X CA Primary

Addresses

Primary practice location

12755 N Highway 88
Lodi, CA 95240-9323

Mailing address

1360 E Lassen Ave
Chico, CA 95973-7823
Phone (530) 893-0758

Other identifiers 1

IdentifierTypeStateIssuer
00118OtherCALEGAL ENTITY NUMBER - MH

Other names 1

  • Victor-Lodi Other name

National Provider Directory

National Provider Directory
Tax ID family
Victor Treatment Centers Inc31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

Locations

12755 N Highway 88
Lodi, CA 95240
Phone (209) 340-5800

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1861551715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E LASSEN AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959737823",
            "telephone_number": "530-893-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12755 N HIGHWAY 88",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952409323",
            "telephone_number": "209-340-5800",
            "fax_number": "209-340-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR TREATMENT CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "VERSER",
        "authorized_official_first_name": "LENNY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "530-893-0758",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEGAL ENTITY NUMBER - MH",
            "identifier": "00118",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victor-Lodi",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.