Victoria Bonifacio Yi
Individual provider Active NPI Nurse Practitioner · Upland, CA
NPI 1972148377 · NPPES record last updated Apr 5, 2022
Key facts
- NPI
- 1972148377
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 95012826 (CA)
- Practice address
- 440 N Mountain Ave Ste 103
Upland, CA 91786-5183 - Phone
- (805) 719-3700
- Fax
- (805) 413-9099
- NPI assigned
- Nov 10, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201124001395 | CA | Practitioner - Nurse Practitioner | 8022429059 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95012826 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascular Medical Group of Southern California | Current |
Accepting new patients | |
| Infusion4Health | Nurse Practitioner | Current |
Accepting new patients |
Locations (25 of 26)
1104 Buchanan Rd
Ste B5
Antioch, CA 94509
Phone (925) 757-9012
8339 Brimhall Rd
Ste 1301
Bakersfield, CA 93312
9033 Wilshire Blvd
Ste 401
Beverly Hills, CA 90211
Phone (310) 273-1003
414 N Camden Dr
Ste 1100
Beverly Hills, CA 90210
Phone (310) 278-3400
625 Citracado Pkwy
Ste 204
Escondido, CA 92025
Phone (760) 294-9255
1125 E Spruce Ave
Ste 201
Fresno, CA 93720
Phone (559) 896-0400
2720 N Harbor Blvd
Ste 200
Fullerton, CA 92835
Phone (714) 449-6900
501 N Central Ave
Glendale, CA 91203
Phone (805) 505-7757
1400 Reynolds Ave
Ste 201202
Irvine, CA 92614
8881 Fletcher Pkwy
Ste 385
La Mesa, CA 91942
Phone (619) 460-0137
79440 Corporate Center Dr
Ste 100
La Quinta, CA 92253
79440 Corporate Center Dr
Ste 101
La Quinta, CA 92253
Phone (760) 777-4067
24012 Calle de la Plata
Ste 230
Laguna Hills, CA 92653
Phone (805) 505-7757
8635 W 3rd St
Ste 1190W
Los Angeles, CA 90048
Phone (310) 652-4600
3300 Webster St
Ste 900
Oakland, CA 94609
Phone (510) 834-3700
6485 Day St
Ste 302
Riverside, CA 92507
Phone (951) 571-2450
333 University Ave
Ste 140
Sacramento, CA 95825
Phone (916) 333-5800
4520 Executive Dr
Ste 227
San Diego, CA 92121
Phone (619) 333-3515
24355 Lyons Ave
Ste 211
Santa Clarita, CA 91321
Phone (661) 255-6644
2121 Wilshire Blvd
Ste 303
Santa Monica, CA 90403
Phone (310) 264-1777
5620 Wilbur Ave
Ste 310
Tarzana, CA 91356
Phone (323) 886-3368
27555 Ynez Rd
Ste 370
Temecula, CA 92591
Phone (951) 699-3299
77 Rolling Oaks Dr
Ste 201
Thousand Oaks, CA 91361
Phone (805) 413-9099
23456 Hawthorne Blvd
Ste 140
Torrance, CA 90505
440 N Mountain Ave
Ste 103
Upland, CA 91786
Interoperability endpoints
- victoria.yi.p1@direct.ifh.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95012826 | CA | Yes |
Addresses
Primary practice location
440 N Mountain Ave Ste 103
Upland, CA 91786-5183
Mailing address
3345 Oakhurst Ave
Los Angeles, CA 90034-2827
Phone (909) 996-0678
Other practice location 1
414 N Camden Dr Ste 1100
Beverly Hills, CA 90210-4517
Phone (310) 278-3400
Other practice location 2
2121 Wilshire Blvd Ste 303
Santa Monica, CA 90403-5743
Phone (805) 719-3700
Other practice location 3
77 Rolling Oaks Dr Ste 201
Thousand Oaks, CA 91361-1018
Phone (805) 719-3700
Other practice location 4
501 N Central Ave
Glendale, CA 91203-1901
Phone (805) 719-3700
Other practice location 5
23456 Hawthorne Blvd # 240
Torrance, CA 90505-4716
Phone (805) 719-3700
Other practice location 6
27555 Ynez Rd Ste 370
Temecula, CA 92591-4678
Phone (805) 719-3700
Other practice location 7
333 University Ave Ste 140
Sacramento, CA 95825-6535
Phone (805) 719-3700
Other practice location 8
2720 N Harbor Blvd Ste 200
Fullerton, CA 92835-2626
Phone (805) 719-3700
Other practice location 9
79440 Corporate Center Dr Ste 101
LA Quinta, CA 92253-7243
Phone (805) 719-3700
Other practice location 10
4520 Executive Dr Ste 227
San Diego, CA 92121-3020
Phone (805) 719-3700
Other practice location 11
24012 Calle De La Plata Ste 230
Laguna Hills, CA 92653-7623
Phone (805) 719-3700
Other providers in Upland, CA
- Priyanka Yaramada
- Yeh Center of Natural Medicine
- Michael S Yeh
- Yen P. Miao, DDS, Ms, a Professional Corporation
- Julie Gissell Yepez
- Shannon Lee Ynfante
- Yohan'S Clinic
- Yolo Massage #1
- Ashley Yoo
- Peter Yoo
All providers in Upland, CA · Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.