VICTORIA MATSUYO PORTER
NPI 1770332652
Physical Therapist - Pediatrics in Fullerton, CA

Active since May 14, 2024Accepts Medicare Assignment
233 ORANGEFAIR MALL, FULLERTON, CA 92832(714) 870-6116 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Apr 7, 2026, May 14, 2024 (2 updates tracked since 2024).

About Victoria Matsuyo Porter NPPES

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

VICTORIA MATSUYO PORTER (NPI 1770332652) is an individual pediatrics provider in Fullerton, California, licensed in California (PT305591) and active in the NPI registry since May 2024. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1770332652
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameVICTORIA MATSUYO PORTER
Location Address233 ORANGEFAIR MALLFullerton, CA 92832-3038
Mailing Address233 Orangefair MallFullerton, CA 92832-3038 · (714) 870-6116
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 14, 2024
Last NPPES UpdateApril 7, 20262 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
NPI 1770332652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License Licensed in CA · PT305591
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
233 ORANGEFAIR MALL, Fullerton, CA 92832

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

Victoria Matsuyo Porter 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 ID9931642683
PECOS Enrollment IDI20240621003257

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.

Physical Therapist (Pediatrics)
233 ORANGEFAIR MALL
FULLERTON, CA 92832
Occupational Therapist (Pediatrics)
233 ORANGEFAIR MALL
FULLERTON, CA 92832
Occupational Therapist (Pediatrics)
233 ORANGEFAIR MALL
FULLERTON, CA 92832
Occupational Therapy Assistant
233 ORANGEFAIR MALL
FULLERTON, CA 92832
Physical Therapist (Pediatrics)
233 ORANGEFAIR MALL
FULLERTON, CA 92832
Occupational Therapist (Pediatrics)
233 ORANGEFAIR MALL
FULLERTON, CA 92832
Occupational Therapist (Pediatrics)
233 ORANGEFAIR MALL
FULLERTON, CA 92832
Occupational Therapist
233 ORANGEFAIR MALL
FULLERTON, CA 92832

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 Victoria Porter's NPI number?

The NPI number for Victoria Porter is 1770332652. It was assigned to this individual provider in the NPPES registry on May 14, 2024.

Where is Victoria Porter located?

Victoria Porter practices at 233 Orangefair Mall, Fullerton, CA 92832. The listed phone number is (714) 870-6116.

What is Victoria Porter's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Is Victoria Porter enrolled in Medicare?

Yes. Victoria Porter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Victoria Porter was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.