CLINICA LA VICTORIA A MEDICAL CORPORATION
NPI 1184777922
General Practice in Bakersfield, CA

Active since January 18, 2007CLIA 05D0958984 · Waiver
2303 S UNION AVE, SUITE C2, BAKERSFIELD, CA 93307(661) 885-7007(661) 735-3699 Get Directions Write a Review

NPPES record last updated: February 13, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 13, 2019, Feb 8, 2019, Aug 23, 2016 (3 updates tracked since 2016).

About Clinica La Victoria A Medical Corporation NPPES

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

CLINICA LA VICTORIA A MEDICAL CORPORATION (NPI 1184777922) is a healthcare organization registered as a general practice in Bakersfield, California and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through March 30, 2027 and lists Juan Corona, Provider, as its authorized official.

NPPES Registry Identity

NPI1184777922
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCLINICA LA VICTORIA A MEDICAL CORPORATION
Location Address2303 S UNION AVE, SUITE C2Bakersfield, CA 93307-4677
Mailing Address2303 S Union Ave, Suite C2Bakersfield, CA 93307-4677 · (661) 885-7007 · Fax (661) 735-3699
Fax(661) 735-3699
Organization SubpartNo
Authorized OfficialJuan CoronaProvider · (661) 885-7007
Enumeration DateJanuary 18, 2007
Last NPPES UpdateFebruary 13, 20193 updates tracked since enumeration
✔ NPI 1184777922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A61306
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedClinic/Center · RadiologyTaxonomy 261QR0200X
2303 S UNION AVE, Bakersfield, CA 93307

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinica La Victoria A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Clinica La Victoria A Medical Corporation, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

General Practice
NPI 1578503256
1925 17TH STREET
Bakersfield, CA 93301
(661) 323-2295
✔ PECOS✔ Accepts Medicare1.3 mi
Family Practice
NPI 1093219305
2317 17TH ST
Bakersfield, CA 93301
(661) 213-9179
✔ PECOS✔ Accepts Medicare1.5 mi
Internal Medicine
NPI 1760680227
3000 CECIL AVE
Delano, CA 93216
(661) 721-6300
✔ PECOS32 mi
Family Practice
NPI 1881617397
2342 VISTA RD
La Habra Heights, CA 90631
(714) 766-2646
✔ PECOS✔ Accepts Medicare116 mi
Nurse Practitioner
NPI 1710627435
12415 BRIANWOOD DR
Riverside, CA 92503
(951) 536-5764
✔ PECOS✔ Accepts Medicare137 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0958984

Clinica La Victoria A Medical Corporation · Bakersfield, CA
Active · expires Mar 30, 2027
CLIA Number05D0958984
Laboratory TypePhysician Office
Certificate Effective DateMarch 31, 2025
Certificate Expiration DateMarch 30, 2027
Laboratory DirectorRonnie Claiborne
Laboratory Phone(661) 225-7007
Laboratory LocationClinica La Victoria A Medical Corporation2303 S Union Ave Ste C2, Bakersfield, CA 93307
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinica La Victoria A Medical Corporation's NPI number?

The NPI number for Clinica La Victoria A Medical Corporation is 1184777922. It was assigned to this organization in the NPPES registry on January 18, 2007.

Where is Clinica La Victoria A Medical Corporation located?

Clinica La Victoria A Medical Corporation is located at 2303 S Union Ave Suite C2, Bakersfield, CA 93307. The listed phone number is (661) 885-7007.

What is Clinica La Victoria A Medical Corporation's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Clinica La Victoria A Medical Corporation enrolled in Medicare?

Yes. Clinica La Victoria A Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clinica La Victoria A Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Clinica La Victoria A Medical Corporation, in Family Practice, General Practice, Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Clinica La Victoria A Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0958984) is associated with this NPI, valid through March 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clinica La Victoria A Medical Corporation was last updated on February 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.