Organization Active NPI

Victor Valley Community Hospital

  • General Acute Care Hospital
  • Victorville, CA
National Provider Identifier
1952311953
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
VICTOR VALLEY COMMUNITY HOSPITAL
Practice address
15248 11TH St
Victorville, CA 92395-3704
Phone
(760) 245-8691
Fax
(760) 843-6049
NPI assigned
Aug 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Berta Beteta
Title
Interim Chief Financial Officer
Phone
(760) 245-8691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X CA Primary

Addresses

Primary practice location

15248 11TH St
Victorville, CA 92395-3704

Mailing address

15248 11TH St
Victorville, CA 92395-3704
Phone (760) 245-8691

Other identifiers 4

IdentifierTypeStateIssuer
0010OtherCATRICARE
ZZZC3616ZOtherCABLUE SHIELD
000000000020MedicaidCA
ZZT30517FMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Victor Valley Hospital Acquisition Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

15972 Tuscola Rd
Ste 115
Apple Valley, CA 92307

16031 Tuscola Rd
Apple Valley, CA 92307
Phone (760) 946-2020

18182 Outer Highway 18
Apple Valley, CA 92307

18523 Corwin Rd
Ste D
Apple Valley, CA 92307
Phone (760) 242-8238

18564 US Highway 18
Ste 108
Apple Valley, CA 92307

18660 US Highway 18
Apple Valley, CA 92307
Phone (760) 515-1911

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

19341 Bear Valley Rd
Ste 105
Apple Valley, CA 92308
Phone (760) 247-6444

14575 Main St
Hesperia, CA 92345
Phone (760) 947-0727

24760 Sunnymead Blvd
Ste 105
Moreno Valley, CA 92553
Phone (951) 601-1748

1221 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 325-5255

1869 N Waterman Ave
Ste 200
San Bernardino, CA 92404
Phone (909) 881-0030

12677 Hesperia Rd
Victorville, CA 92395
Phone (760) 243-1234

14075 Hesperia Rd
Ste 101
Victorville, CA 92395
Phone (760) 810-0000

15203 Eleventh St
Ste A
Victorville, CA 92395
Phone (619) 245-6455

15366 Eleventh St
Ste D
Victorville, CA 92395
Phone (760) 268-2063

17207 Jasmine St
Victorville, CA 92395
Phone (760) 241-8167

Practitioners & affiliated clinicians

Practitioners 156

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.

View all 156

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952311953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15248 11TH ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953704",
            "telephone_number": "760-245-8691",
            "fax_number": "760-843-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15248 11TH ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953704",
            "telephone_number": "760-245-8691",
            "fax_number": "760-843-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR VALLEY COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BETETA",
        "authorized_official_first_name": "BERTA",
        "authorized_official_title_or_position": "INTERIM CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "760-245-8691"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "0010",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZC3616Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000000020",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT30517F",
            "state": "CA"
        }
    ],
    "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 Aug 22, 2020; 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.