VICTORVILLE VA CLINIC
NPI 1689613507
Clinic/Center - VA in Victorville, CA

Active since June 06, 2006CLIA 05D2239919 · Waiver
14598 SEVENTH ST STE B, VICTORVILLE, CA 92395(702) 341-3152 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 17, 2021, Nov 1, 2017 (2 updates tracked since 2017).

About Victorville Va Clinic NPPES

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

VICTORVILLE VA CLINIC (NPI 1689613507) is a healthcare organization registered as a va in Victorville, California and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through October 13, 2027 and lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1689613507
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameLOMA LINDA VAMC
Location Address14598 SEVENTH ST STE BVictorville, CA 92395-4214
Mailing AddressPo Box 94409Cleveland, OH 44101-4409 · (702) 341-3152
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateJune 6, 2006
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
NPPES CertifiedDecember 17, 2021
NPI 1689613507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
14598 SEVENTH ST STE B, Victorville, CA 92395

Other Names 1

Other NameVictorville Va Clinic

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 05D2239919

Victorville VA Clinic · Victorville, CA
Active · expires Oct 13, 2027
CLIA Number05D2239919
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateOctober 14, 2025
Certificate Expiration DateOctober 13, 2027
Laboratory DirectorDr. Sharon Jamie
Laboratory Phone(661) 441-6862
Laboratory LocationVictorville VA Clinic14598 7th St Suite B, Victorville, CA 92395
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
14598 SEVENTH ST STE B
VICTORVILLE, CA 92395

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 Loma Linda Vamc's NPI number?

The NPI number for Loma Linda Vamc is 1689613507. It was assigned to this organization in the NPPES registry on June 6, 2006. The provider is also known as Victorville VA Clinic.

Where is Loma Linda Vamc located?

Loma Linda Vamc is located at 14598 Seventh St Ste B, Victorville, CA 92395. The listed phone number is (702) 341-3152.

What is Loma Linda Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

Does Loma Linda Vamc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2239919) is associated with this NPI, valid through October 13, 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 Loma Linda Vamc was last updated on December 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.