NPIMap

Organization Active NPI

Federal Correctional Complex Victorville

  • Prison Health Clinic/Center
  • Victorville, CA
National Provider Identifier
1902653223
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
FEDERAL CORRECTIONAL COMPLEX VICTORVILLE
Practice address
Federal Correctional Complex Victorville
13777 Air Expressway Blvd.
Victorville, CA 92394
Phone
(760) 530-5700
NPI assigned
May 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Authorized official

Name
Mr. Huu Duyen Nguyen, PHARM.D.NPI 1275090847
Title
Chief Pharmacist
Phone
(760) 530-5700

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X Primary
Clinic Pharmacy 3336C0002X

Addresses

Primary practice location

Federal Correctional Complex Victorville
13777 Air Expressway Blvd.
Victorville, CA 92394

Mailing address

Federal Correctional Complex Victorville
P.O. Box 5400
Adelanto, CA 92301
Phone (760) 530-5700

National Provider Directory

National Provider Directory
Tax ID family
Fci Texarkana49 organizations share this tax ID, including this one

Other organizations with this tax ID 48

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

View all 48

Locations

13777 Air Expressway Blvd
Victorville, CA 92394
Phone (760) 530-5000

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1902653223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FEDERAL CORRECTIONAL COMPLEX VICTORVILLE",
            "address_2": "P.O. BOX 5400",
            "city": "ADELANTO",
            "state": "CA",
            "postal_code": "92301",
            "telephone_number": "760-530-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FEDERAL CORRECTIONAL COMPLEX VICTORVILLE",
            "address_2": "13777 AIR EXPRESSWAY BLVD.",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "92394",
            "telephone_number": "760-530-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDERAL CORRECTIONAL COMPLEX VICTORVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HUU",
        "authorized_official_middle_name": "DUYEN",
        "authorized_official_title_or_position": "CHIEF PHARMACIST",
        "authorized_official_telephone_number": "760-530-5700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.