Individual provider Active NPI

Victoria Jessica Vang

  • Family Nurse Practitioner
  • Clovis, CA
National Provider Identifier
1942845847
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10190472 Issued in CA
Practice address
1555 Shaw Ave Ste 101
Clovis, CA 93611-4096
Phone
(559) 900-1288
NPI assigned
Nov 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F10190472 CA Primary

Addresses

Primary practice location

1555 Shaw Ave Ste 101
Clovis, CA 93611-4096

Mailing address

1541 McKelvy Ave
Clovis, CA 93611-5964
Phone (559) 393-0709

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211101001652 CA Practitioner - Nurse Practitioner 3779906409 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians Urgent Care IncGroup PAC ID 8527234418, 138 clinicians

Practice addresses (Care Compare)

9710 Brimhall Rd
Bakersfield, CA 93312-2779
Phone (661) 829-6747

Merit-based Incentive Payment System (MIPS)

Final score
92.04 of 100Reported as group
Quality
78.62
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F10190472CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Partners CurrentSince Jan 13, 2023 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Oct 15, 2021 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Oct 15, 2021 Accepting new patients

Locations

2251 Mount Vernon Ave
Bakersfield, CA 93306
Phone (661) 624-0404

2400 K St
Bakersfield, CA 93301
Phone (661) 885-9909

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 331-8640

212 Coffee Rd
Bakersfield, CA 93309
Phone (661) 829-6937

4040 California Ave
Bakersfield, CA 93309
Phone (661) 336-2050

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

4871 White Ln
Bakersfield, CA 93309
Phone (661) 832-1679

4108 Edison Ave
Ste 112
Chino, CA 91710
Phone (909) 334-4545

761 W Shaw Ave
Clovis, CA 93612
Phone (559) 549-3234

32860 Pacific Coast Hwy
Ste 24
Dana Point, CA 92629
Phone (949) 441-2922

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

7035 N Maple Ave
Ste 102B
Fresno, CA 93720
Phone (559) 299-2997

7035 N Maple Ave
Ste 102A
Fresno, CA 93720
Phone (559) 299-2997

6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377

28110 Clinton Keith Rd
Murrieta, CA 92563
Phone (661) 885-6060

41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1942845847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 MCKELVY AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936115964",
            "telephone_number": "559-393-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SHAW AVE STE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936114096",
            "telephone_number": "559-900-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANG",
        "first_name": "VICTORIA",
        "middle_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F10190472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.