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VICTORIA RANTI BALOGUN NURSE PRACTITIONER
NPI 1043761117
Nurse Practitioner - Psychiatric/Mental Health in Lompoc, CA

Active since October 24, 2016PECOS Enrolled
4192 POLARIS AVE, LOMPOC, CA 93436(864) 551-5536(805) 250-3248 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 6, 2026, Oct 24, 2016 (2 updates tracked since 2016).

About Victoria Ranti Balogun Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTORIA RANTI BALOGUN NURSE PRACTITIONER (NPI 1043761117) is an individual psychiatric/mental health provider in Lompoc, California, licensed in California (95016572) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043761117
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameVICTORIA RANTI BALOGUNCredential: NURSE PRACTITIONER
Location Address4192 POLARIS AVELompoc, CA 93436-1250
Mailing Address4192 Polaris AveLompoc, CA 93436-1250 · (864) 551-5536 · Fax (805) 250-3248
Phone(864) 551-5536
Fax(805) 250-3248
Sole ProprietorYes
Enumeration DateOctober 24, 2016
Last NPPES UpdateFebruary 6, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
✔ NPI 1043761117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95016572
Also ListedNurse PractitionerTaxonomy 363L00000X · License 95016572 (CA)
4192 POLARIS AVE, Lompoc, CA 93436
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Other Names 1

Other Name (5)Victoria Oluwaranti Oguntoba Nurse Practitioner

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victoria Ranti Balogun Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93436 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.71 typical visit price
range $62.01 – $184.40
Typical copayment $23.67 (range $15.50 – $46.10)
Most-billed visit code 99203
Established Patient
$108.26 typical visit price
range $20.60 – $151.20
Typical copayment $27.06 (range $5.15 – $37.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRIST THE ULTIMATE HEALTHCARE LLC
Nurse Practitioner (Psychiatric/Mental Health)
4192 POLARIS AVE
LOMPOC, CA 93436
Santa Barbara County (864) 551-5536

Frequently Asked Questions

What is Victoria Balogun's NPI number?

The NPI number assigned to this healthcare provider is 1043761117, enumerated as an "individual" on October 24, 2016.

Where is the provider located?

The provider is located at 4192 POLARIS AVE LOMPOC, CA 93436 and the phone number is (864) 551-5536.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.