Individual provider Active NPI

Victor Moneke, M.D.

  • Specialist
  • Apple Valley, CA
National Provider Identifier
1942211552
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C51551 Issued in CA
Practice address
15995 Tuscola Rd Ste 208
Apple Valley, CA 92307-2159
Phone
(760) 946-1592
Fax
(760) 946-1949
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X C51551 CA Primary

Addresses

Primary practice location

15995 Tuscola Rd Ste 208
Apple Valley, CA 92307-2159

Mailing address

15995 Tuscola Rd Ste#208
Apple Valley, CA 92307
Phone (760) 946-1592

Other names 1

  • Victor Moneke Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050705000584 CA Practitioner - Obstetrics/Gynecology 5799721320 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg California PCGroup PAC ID 8729276795, 94 clinicians
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

18300 US Hwy 18
Apple Valley, CA 92307-2206
Phone (800) 967-2289

19341 Bear Valley Rd
Suite 105
Apple Valley, CA 92308-5152
Phone (760) 240-7485

350 Terracina Blvd
Redlands, CA 92373-4850
Phone (909) 335-5500

Hospital & facility affiliations

  • Providence St Mary Medical Center Hospital, Apple Valley, CA, CCN 050300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C51551CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Jul 19, 2021 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Jul 19, 2021 Accepting new patients
Obhg California, P.C. CurrentSince Aug 9, 2022 Accepting new patients
Sound Shore Medical Center of Westchester Past Accepting new patients
St. Mary Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Desert Valley Hospital, LLC Past Accepting new patients
Providence Medical Foundation Past Accepting new patients
Victor Valley Community Hospital Past Accepting new patients

Locations

19341 Bear Valley Rd
Ste 105
Apple Valley, CA 92308
Phone (760) 240-7485

19333 Bear Valley Rd
Ste 106
Apple Valley, CA 92308
Phone (760) 240-5505

19333 Bear Valley Rd
Ste 104
Apple Valley, CA 92308
Phone (760) 247-8462

18300 Outer Highway 18
Apple Valley, CA 92307
Phone (760) 946-8873

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: vmoneke1772024@oc.providencedirect.org
  • Direct secure messaging: victor.monekemd.p1@direct.dvmg.nextgenshare.com

Organizations & group practices 10

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942211552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15995 TUSCOLA RD STE#208",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "92307",
            "telephone_number": "760-946-1592",
            "fax_number": "760-946-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15995 TUSCOLA RD STE 208",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072159",
            "telephone_number": "760-946-1592",
            "fax_number": "760-946-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONEKE",
        "first_name": "VICTOR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "C51551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTOR",
            "last_name": "MONEKE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.