Victory Care Inc

Primary specialty

Clinical Pathology PhysicianTaxonomy code 207ZC0006X

License

G48802 Issued in CA

Legal business name

VICTORY CARE INC

Practice address

2131 Elks Dr Ste 103
San Bernardino, CA 92404-5571

Phone

(909) 253-2326

NPI assigned

Oct 22, 2009

Organization subpart

No

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

Authorized official

Name

Gregory Reiber

Title

President

Phone

(909) 253-2326

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1992031132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W GLENOAKS BLVD STE 809",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 ELKS DR STE 103",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045571",
            "telephone_number": "909-253-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "REIBER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-253-2326"
    },
    "taxonomies": [
        {
            "code": "207ZC0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology",
            "state": "CA",
            "license": "G48802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Community Support Services, Inc.
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• Victor Treatment Centers, Inc.
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• Victory Care Hospice
• John Edward Victory
• Dolores Vicuna
• Ana Ashley Vidaurrazaga
• Melissa Agustina Viera Aragon
• Samantha Abigail Viera

• All providers in San Bernardino, CA
• Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.