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VICTOR VALLEY PRIMARY CARE, INC.
NPI 1487823985
Clinic/Center in Apple Valley, CA

Active since February 28, 2008CLIA 05D1074958 · Microscopy
16125 KAMANA RD, APPLE VALLEY, CA 92307(760) 946-2600(760) 946-5600 Get Directions Write a Review

NPPES record last updated: March 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1487823985
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameVICTOR VALLEY PRIMARY CARE, INC.
Location Address16125 KAMANA RDApple Valley, CA 92307-1377
Mailing Address16125 Kamana RdApple Valley, CA 92307-1377 · (760) 946-2600 · Fax (760) 946-5600
Phone(760) 946-2600
Fax(760) 946-5600
Organization SubpartNo
Authorized OfficialAlden I JallorinaPresident · (760) 946-2600
Enumeration DateFebruary 28, 2008
Last NPPES UpdateMarch 23, 2020
NPPES CertifiedMarch 23, 2020
✔ NPI 1487823985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in CA · C52186
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
16125 KAMANA RD, Apple Valley, CA 92307
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Secondary Practice Location 1

Location 116167 Siskiyou Rd Ste BApple Valley, CA 92307-1314 · Phone (760) 946-0222

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, CA
Active · expires Oct 9, 2027
CLIA Number05D1074958
Laboratory TypePhysician Office
Certificate Effective DateOctober 10, 2025
Certificate Expiration DateOctober 9, 2027
Laboratory DirectorAlden I. Jallorina MD
Laboratory Phone(760) 946-2600
Laboratory LocationVictor Valley Primary Care Inc16125 Kamana Rd, Apple Valley, CA 92307
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

DR. HEIDELENE E DE LA ROSA MD
Pediatrics
16125 KAMANA RD
APPLE VALLEY, CA 92307
San Bernardino County (760) 946-2600
DR. ALDEN I JALLORINA M.D.
Internal Medicine
16125 KAMANA RD
APPLE VALLEY, CA 92307
San Bernardino County (760) 946-2600

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 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.

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.