Individual provider Active NPI

Victoria Bonifacio Yi

  • Nurse Practitioner
  • Upland, CA
National Provider Identifier
1972148377
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95012826 Issued in 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
Last updated
Apr 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95012826 CA Primary

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

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
I20201124001395 CA Practitioner - Nurse Practitioner 8022429059 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Medical Group of Southern California CurrentSince Nov 30, 2020 Accepting new patients
Infusion4Health Nurse Practitioner CurrentSince Dec 31, 2021 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

414 N Camden Dr
Ste 1100
Beverly Hills, CA 90210
Phone (310) 278-3400

9033 Wilshire Blvd
Ste 401
Beverly Hills, CA 90211
Phone (310) 273-1003

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) 272-9610

6485 Day St
Ste 302
Riverside, CA 92507
Phone (951) 571-2450

333 University Ave
Ste 140
Sacramento, CA 95825
Phone (916) 314-7060

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

  • Direct secure messaging: victoria.yi.p1@direct.ifh.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1573344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1972148377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 OAKHURST AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900342827",
            "telephone_number": "909-996-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N MOUNTAIN AVE STE 103",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865183",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 N Camden Dr Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902104517",
            "country_code": "US",
            "telephone_number": "310-278-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2121 Wilshire Blvd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904035743",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "77 Rolling Oaks Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913611018",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 N Central Ave",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912031901",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23456 Hawthorne Blvd # 240",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905054716",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27555 Ynez Rd Ste 370",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925914678",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 University Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958256535",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2720 N Harbor Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928352626",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "79440 Corporate Center Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "LA Quinta",
            "state": "CA",
            "postal_code": "922537243",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4520 Executive Dr Ste 227",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921213020",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24012 Calle De La Plata Ste 230",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926537623",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YI",
        "first_name": "VICTORIA",
        "middle_name": "BONIFACIO",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-10",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95012826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.