VICTOR TREATMENT CENTERS, INC (NPI# 1902082712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902082712 |
| Entity Type | Organization |
| Organization Name | VICTOR TREATMENT CENTERS, INC |
| Practice Address |
555 N Perris Blvd Perris CA 92571-2811 |
| Mailing Address |
1360 E Lassen Ave Chico CA 95973-7823 |
| Practice Telephone | 9514365200 |
| Mailing Telephone | 5308930758 |
| Mailing Fax Number | 5302301280 |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2013-02-13 |
| Authorized Official Name | LENNY R VERSER JR. (CFO) |
| Authorized Official Telephone | 5308930758 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | CA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366786782 | Victor Treatment Centers, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1053 N D St, San Bernardino, CA 92410-3521 | 2012-11-26 |
| 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 |
555 N PERRIS BLVD |
| City | PERRIS |
| State | CA |
| Zip Code | 92571-2811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447340526 | Danielle Marie Gross | Marriage & Family Therapist | 555 N Perris Blvd, Building A, Perris, CA 92571-2811 | 2006-10-13 |
| 1093332751 | Frida Jacinto | Counselor | 555 N Perris Blvd, Perris, CA 92571-2811 | 2020-06-29 |
| 1881233971 | Monica Mora | Social Worker | 555 N Perris Blvd, Perris, CA 92571-2811 | 2020-01-06 |
| 1316592827 | Kelli Brower | Counselor | 555 N Perris Blvd, Perris, CA 92571-2811 | 2019-08-02 |
| 1376195537 | Ilse Perez | Counselor | 555 N Perris Blvd, Perris, CA 92571-2811 | 2019-07-09 |
| 1558926303 | Alanna Gonzalez | Counselor | 555 N Perris Blvd, Perris, CA 92571-2811 | 2019-05-07 |
| 1386109965 | Cristal Cortes Vazquez | Counselor | 555 N Perris Blvd, Perris, CA 92571-2811 | 2019-02-07 |
| 1124595780 | Suzanna Anderson | Counselor | 555 N Perris Blvd, Perris, CA 92571-2811 | 2018-10-31 |
| 1508333154 | Michele Foreman-boggus | Social Worker | 555 N Perris Blvd, Perris, CA 92571-2811 | 2018-10-31 |
| 1790267623 | Rachelle Felix | Counselor | 555 N Perris Blvd, Perris, CA 92571-2811 | 2018-09-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376199422 | Pico De Loro, Incorporated | Assisted Living Facility | 620 North Perris Boulevard, Perris, CA 92571 | 2019-08-14 |
| 1053802579 | Kadiatou Dafney | Nurse Practitioner | 126 Avocado Ave Ste 106, Perris, CA 92571 | 2018-05-21 |
| 1730677014 | Ruth Gasselle Rodriguez | Nutritionist | 1020 Huntington Way, Perris, CA 92571 | 2018-04-23 |
| 1649788167 | Leslie Bautista | Counselor | 1276 Autumnwood Ln, Perris, CA 92571 | 2018-01-18 |
| 1588180459 | Eduardo Orozco-zavala | Licensed Vocational Nurse | 85 Ramona Expressway, Suite 1, Perris, CA 92571 | 2017-08-22 |
| 1396267365 | National Vision, Inc. | Technician/Technologist | 1850 N Perris Boulevard, Suite 40, Perris, CA 92571 | 2017-07-12 |
| 1336669506 | Gary Huang | Optometrist | 1850 N Perris Boulevard Ste 40, Perris, CA 92571 | 2017-06-20 |
| 1750814745 | New Beginnings Residential Tf | Residential Treatment Facility, Emotionally Disturbed Children | 106 Worth St, Perris, CA 92571 | 2017-04-06 |
| 1013456235 | Sohal and Pham Dental Corporation | Dentist | 1820 Perris Blvd, Suite 70, Perris, CA 92571 | 2017-02-21 |
| 1093267569 | New Beginnings Residential Tf | Residential Treatment Facility, Emotionally Disturbed Children | 2464 Slew of Gold Ct, Perris, CA 92571 | 2016-10-31 |
| Find all providers in zip 92571 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144865379 | Olive Crest | Community Based Residential Treatment Facility, Mental Illness | 20025 Vista Del Lago Ste A, Perris, CA 92570-7170 | 2019-11-12 |
| 1235774464 | Olive Crest | Community Based Residential Treatment Facility, Mental Illness | 20025 Vista Del Lago Ste B, Perris, CA 92570-7170 | 2019-11-12 |
| 1245875467 | Olive Crest | Community Based Residential Treatment Facility, Mental Illness | 20051 Vista Del Lago Ste A, Perris, CA 92570-7170 | 2019-11-12 |
| 1174168397 | Olive Crest | Community Based Residential Treatment Facility, Mental Illness | 20051 Vista Del Lago Ste B, Perris, CA 92570-7170 | 2019-11-12 |
| 1285288316 | Olive Crest | Community Based Residential Treatment Facility, Mental Illness | 23115 Rider St, Perris, CA 92570-9723 | 2019-07-26 |
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| 1154922458 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 24171 Grayston Dr, Lake Forest, CA 92630-3839 | 2020-11-03 |
| 1003417684 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 1155 Hoover St, Carlsbad, CA 92008-4230 | 2020-11-02 |
| 1497356075 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 405 N Tremont St, Oceanside, CA 92054-2535 | 2020-11-02 |
| 1467053041 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 6477 Goldenbush Dr, Carlsbad, CA 92011-4203 | 2020-11-02 |
| 1366043937 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 26065 Waterwheel Pl, Laguna Hills, CA 92653-6114 | 2020-11-02 |
| 1730780313 | Orchid Court, Inc. | Community Based Residential Treatment Facility, Mental Illness | 307 S Arrowhead Avenue, San Bernardino, CA 92408-1325 | 2020-11-02 |
| 1477151199 | Inspiring Pathways, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1798 Bryman St, Hanford, CA 93230-7144 | 2020-10-14 |
| 1356949226 | Wings Recovery Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3134 Morningside Dr, Oceanside, CA 92056-4401 | 2020-10-13 |
| 1326645904 | New Passages Group Home, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5675 E Ashlan Ave, Fresno, CA 93727-7220 | 2020-10-06 |
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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.