DR. VICTOR BUENAVENTURA VILLACORTE MEDINA JR. M.D.
NPI 1407151707
Family Medicine in Riverside, CA

Q: What is Victor Buenaventura Medina's NPI number?

The NPI number for Victor Buenaventura Medina is 1407151707. It was assigned to this individual provider in the NPPES registry on January 18, 2011.

Q: What is Victor Buenaventura Medina's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 18, 2011PECOS EnrolledAccepts Medicare Assignment

10800 MAGNOLIA AVE, RIVERSIDE, CA 92505(951) 353-3844 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 6, 2021, Jul 23, 2019 (2 updates tracked since 2019).

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About Dr. Victor Buenaventura Villacorte Medina Jr. M.d. NPPES

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

DR. VICTOR BUENAVENTURA VILLACORTE MEDINA JR. M.D. (NPI 1407151707) is an individual family medicine provider in Riverside, California, licensed in California (A114025) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1407151707

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. VICTOR BUENAVENTURA VILLACORTE MEDINA JR.Credential: M.D.

Location Address10800 MAGNOLIA AVERiverside, CA 92505-3043

Mailing Address32390 Windemere DrLake Elsinore, CA 92532-2541 · (805) 477-8694

Phone(951) 353-3844

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateJanuary 18, 2011

Last NPPES UpdateDecember 6, 20212 updates tracked since enumeration

✔ NPI 1407151707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A114025

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

10800 MAGNOLIA AVE, Riverside, CA 92505

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Victor Buenaventura Villacorte Medina Jr. M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224214721

PECOS Enrollment IDI20110518000252

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 92505 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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 20

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

KAISER PERMANENTE

General Acute Care Hospital