VICTOR TREATMENT CENTERS, INC. (NPI# 1861981847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861981847 |
| Entity Type | Organization |
| Organization Name | VICTOR TREATMENT CENTERS, INC. |
| Other Organization Name | VTC POMONA |
| Practice Address |
801 Corporate Center Dr Ste 202 Pomona CA 91768-2627 |
| Mailing Address |
1360 E Lassen Ave Chico CA 95973-7823 |
| Practice Telephone | 9097667060 |
| Practice Fax Number | 9099923177 |
| Mailing Telephone | 5308930758 |
| Mailing Fax Number | 5308930502 |
| Enumeration Date | 2018-05-06 |
| Last Update Date | 2019-05-24 |
| Authorized Official Name | ANGIE R WIECHERT (DIRECTOR OF FINANCIAL ANALYSIS) |
| Authorized Official Telephone | 5302301210 |
| Is Organization Subpart | Y |
| Parent Organization Name | VICTOR TREATMENT CENTERS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LEGAL ENTITY NUMBER - MH | 00118 | 01 |
| Other Name | Type Code |
|---|---|
| VTC Pomona | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346739273 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 600 Irwin Ln, Santa Rosa, CA 95401-5607 | 2018-05-07 |
| 1891284725 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 620 Irwin Ln, Santa Rosa, CA 95401-5607 | 2018-05-07 |
| 1346739265 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1136 Clover Dr, Santa Rosa, CA 95401-4512 | 2018-05-07 |
| 1407345317 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 21282 Tia Mia Ln, Redding, CA 96003-9359 | 2018-05-07 |
| 1134618044 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 19767 Paso Robles Ave, Redding, CA 96003-7769 | 2018-05-07 |
| 1285123117 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 20846 Clairvaux Drive, Redding, CA 96002 | 2018-05-07 |
| 1417446493 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 520 Oasis Dr, Santa Rosa, CA 95407-7717 | 2018-05-06 |
| 1063901049 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 565 Piezzi Rd, Santa Rosa, CA 95401-5536 | 2018-05-06 |
| 1528557501 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 13403 Kings Way, Redding, CA 96003-7017 | 2018-05-06 |
| 1700375789 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4223 Alta Mesa Dr, Redding, CA 96002-3727 | 2018-05-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VICTOR TREATMENT CENTERS, INC. | 1360 E Lassen Ave, Chico, CA 95973-7823 |
| Street Address |
801 CORPORATE CENTER DR STE 202 |
| City | POMONA |
| State | CA |
| Zip Code | 91768-2627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669925384 | Brianda Villa | Counselor | 801 Corporate Center Dr Ste 202, Pomona, CA 91768-2627 | 2016-07-28 |
| 1821630252 | Anneliese Mendoza | Licensed Vocational Nurse | 801 Corporate Center Dr Ste 202, Pomona, CA 91768-2627 | 2019-10-17 |
| 1801455522 | Karina Nava | Counselor | 801 Corporate Center Dr Ste 202, Pomona, CA 91768-2627 | 2019-06-06 |
| 1821551201 | Loren Sabastian Hale | Case Manager/Care Coordinator | 801 Corporate Center Dr Ste 202, Pomona, CA 91768-2627 | 2019-04-11 |
| 1548736606 | Corinna Aguiar Munoz | Marriage & Family Therapist | 801 Corporate Center Dr Ste 202, Pomona, CA 91768-2627 | 2018-10-16 |
| 1326543059 | Jessica Prieto | Case Manager/Care Coordinator | 801 Corporate Center Dr Ste 202, Pomona, CA 91768-2627 | 2018-03-26 |
| 1396247599 | Vannesa Raquel Arrivillaga-rauda | Marriage & Family Therapist | 801 Corporate Center Dr Ste 202, Pomona, CA 91768-2627 | 2018-03-02 |
| 1134628605 | Bianco Romero Aguiar | Counselor | 801 Corporate Center Dr Ste 202, Pomona, CA 91768-2627 | 2018-02-09 |
| 1447767751 | Hannah Diep | Counselor | 801 Corporate Center Dr Ste 202, Pomona, CA 91768-2627 | 2018-01-08 |
| 1881101418 | Maria Maligo | Licensed Vocational Nurse | 801 Corporate Center Dr Ste 202, Pomona, CA 91768-2627 | 2018-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385971 | Behavioral Health Services, Inc. | Substance Abuse Rehabilitation Facility | 2180 West Valley Blvd., Floor 200, Pomona, CA 91768 | 2020-08-03 |
| 1427690338 | Sharon Beatrice Moreno | Counselor | 2180 Valley Bvld, Pomona, CA 91768 | 2019-10-11 |
| 1710492087 | Freddie Lee Dominguez | Counselor | 2180 W Vally Blvd, Pomona, CA 91768 | 2017-12-08 |
| 1205350295 | Angie Lorraine Gallego-arellano | Case Manager/Care Coordinator | 801 Corporate Center Drive, Suite 202, Pomona, CA 91768 | 2017-08-01 |
| 1154851913 | Maria Concepcion Galvez | Counselor | 2180 W Valley Blvd, Pomona, CA 91768 | 2017-06-14 |
| 1689107500 | Margie Moreno Interpriting Services | Case Management | 675 North Park Avenue, Pomona, CA 91768 | 2017-04-07 |
| 1386006864 | Evelyn Benitez | Marriage & Family Therapist | 1023 Groff St, Pomona, CA 91768 | 2016-03-24 |
| 1962891291 | Consuelo Rivera Aguilar | Speech-Language Pathologist | 651 North Main Street, Pomona, CA 91768 | 2015-01-09 |
| 1134557648 | Rodolfo Perez Jr. | Nurse Practitioner | 1196 North Park Ave, Pomona, CA 91768 | 2013-10-18 |
| 1588008361 | Medi-cure Health Services | Counselor | 1921 West Arroyo Street, Pomona, CA 91768 | 2013-04-23 |
| Find all providers in zip 91768 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653262 | Fernando Iniguez | Community/Behavioral Health | 404 W Alvarado St, Pomona, CA 91768-3015 | 2020-09-08 |
| 1972124378 | Rosa Guadalupe Garcia | Community/Behavioral Health | 1890 N Garey Ave Ste C, Pomona, CA 91767-2923 | 2020-04-27 |
| 1215489000 | Boys Republic - Pomona Residence | Community/Behavioral Health | 733 N Garey Ave, Pomona, CA 91767 | 2016-10-27 |
| 1700270188 | Hillsides | Community/Behavioral Health | 1902 Royalty Dr Ste 240&260, Pomona, CA 91767-3061 | 2015-03-24 |
| 1902223589 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 3 Cottontail Dr, Pomona, CA 91766 | 2014-03-21 |
| 1720404239 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 942 Barbara Ln, Pomona, CA 91767 | 2014-03-07 |
| 1801235973 | Medi-cure Health Services, Inc. | Community/Behavioral Health | 1444 E Holt Ave, Pomona, CA 91767-5865 | 2013-06-21 |
| 1073952149 | Medi-cure Health Services, Inc | Community/Behavioral Health | 1460 E Holt Ave # 430, Pomona, CA 91767-5856 | 2013-06-21 |
| 1427497593 | Medi-cure Health Seervices, Inc. | Community/Behavioral Health | 1460 E Holt Ave Ste 6, Pomona, CA 91767-5835 | 2013-06-21 |
| 1346594405 | Angie Wellness & Recovery Center | Community/Behavioral Health | 637 N Park Ave, Pomona, CA 91768-3669 | 2012-10-28 |
| Find all providers in POMONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.