VICTOR VALLEY PRIMARY CARE, INC.
NPI 1487823985
Clinic/Center in Apple Valley, CA
About Victor Valley Primary Care, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VICTOR VALLEY PRIMARY CARE, INC. (NPI 1487823985) is a healthcare organization registered as a clinic/center in Apple Valley, California and active in the NPI registry since February 2008. The organization holds a CLIA Microscopy certificate valid through October 9, 2027, maintains a secondary practice location in Apple Valley, and lists Alden I Jallorina, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Victor Valley Primary Care, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Victor Valley Primary Care, Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 for Provider-Performed Microscopy Procedures (PPMP) 05D1074958
Victor Valley Primary Care Inc · Apple Valley, CAFrequently 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 Victor Valley Primary Care, Inc.'s NPI number?
The NPI number for Victor Valley Primary Care, Inc. is 1487823985. It was assigned to this organization in the NPPES registry on February 28, 2008.
Where is Victor Valley Primary Care, Inc. located?
Victor Valley Primary Care, Inc. is located at 16125 Kamana Rd, Apple Valley, CA 92307. The listed phone number is (760) 946-2600.
What is Victor Valley Primary Care, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Victor Valley Primary Care, Inc. enrolled in Medicare?
Yes. Victor Valley Primary Care, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Victor Valley Primary Care, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Victor Valley Primary Care, Inc.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Victor Valley Primary Care, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D1074958) is associated with this NPI, valid through October 9, 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 Victor Valley Primary Care, Inc. was last updated on March 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Victor Valley Primary Care, Inc. · NPI 1487823985
Clinic/Center organization in Apple Valley, California. Organization record, active in the CMS NPPES registry since February 28, 2008.
## Identity
- **NPI:** 1487823985 (Entity type: Organization)
- **Enumerated:** February 28, 2008
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Alden Jallorina, PRESIDENT
## Practice location
- **Address:** 16125 KAMANA RD, Apple Valley, CA 92307-1377
- **Phone:** (760) 946-2600 · **Fax:** (760) 946-5600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 23, 2020
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1487823985) · Data from the CMS NPPES public registry.