Individual provider Active NPI

Victoria Secret Admire

  • Adult Companion
  • Lodi, CA
National Provider Identifier
1992537302
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
Practice address
1111 W Tokay St
Lodi, CA 95240-3965
Phone
(209) 330-7155
NPI assigned
Aug 14, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1111 W Tokay St
Lodi, CA 95240-3965

Mailing address

928 Rutledge Dr
Lodi, CA 95242-2142
Phone (209) 371-1890

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 5, 2026.

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1992537302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 RUTLEDGE DR",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952422142",
            "telephone_number": "209-371-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W TOKAY ST",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403965",
            "telephone_number": "209-330-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADMIRE",
        "first_name": "VICTORIA",
        "middle_name": "SECRET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.