1. Home
  2. Directory
  3. California
  4. Jackson
  5. General Practice
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

VICTORY VILLAGE INC
NPI 1871490953
General Practice in Jackson, CA

Active since October 22, 2026
12408 KENNEDY FLAT RD, JACKSON, CA 95642(209) 223-2286 Get Directions Write a Review

NPPES record added: October 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Victory Village Inc NPPES

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

VICTORY VILLAGE INC (NPI 1871490953) is a healthcare organization registered as a general practice in Jackson, California and active in the NPI registry since October 2026. The organization lists Nichole Mulford, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1871490953
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameVICTORY VILLAGE INC
Location Address12408 KENNEDY FLAT RDJackson, CA 95642-9576
Mailing Address12408 Kennedy Flat RdJackson, CA 95642-9576 · (209) 223-2286
Phone(209) 223-2286
Organization SubpartNo
Authorized OfficialNichole MulfordExecutive Director · (209) 223-2286
Enumeration DateOctober 22, 2026
NPPES CertifiedOctober 22, 2026
✔ NPI 1871490953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
12408 KENNEDY FLAT RD, Jackson, CA 95642
Open in Google Maps ↗

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 Victory Village Inc's NPI number?

The NPI number for Victory Village Inc is 1871490953. It was assigned to this organization in the NPPES registry on October 22, 2026.

Where is Victory Village Inc located?

Victory Village Inc is located at 12408 Kennedy Flat Rd, Jackson, CA 95642. The listed phone number is (209) 223-2286.

What is Victory Village Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Victory Village Inc was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.