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HERITAGE VICTOR VALLEY MEDICAL GROUP
NPI 1902356561
Clinic/Center - Multi-Specialty in Victorville, CA

Active since October 07, 2016
12370 HESPERIA RD, SUITE 28, VICTORVILLE, CA 92395(714) 456-6966(714) 456-8284 Get Directions Write a Review

NPPES record last updated: October 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heritage Victor Valley Medical Group NPPES

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

HERITAGE VICTOR VALLEY MEDICAL GROUP (NPI 1902356561) is a healthcare organization registered as a multi-specialty in Victorville, California and active in the NPI registry since October 2016. The organization lists Manuel Porto, President, as its authorized official.

NPPES Registry Identity

NPI1902356561
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameHERITAGE VICTOR VALLEY MEDICAL GROUP
Location Address12370 HESPERIA RD, SUITE 28Victorville, CA 92395-7719
Mailing AddressPo Box 54840Los Angeles, CA 90054-0840 · (714) 456-3856 · Fax (714) 456-8101
Phone(714) 456-6966
Fax(714) 456-8284
Organization SubpartYesParent: Regents Of The University Of California
Authorized OfficialManuel PortoPresident · (714) 456-2986
Enumeration DateOctober 7, 2016
✔ NPI 1902356561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
12370 HESPERIA RD, Victorville, CA 92395
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Other Providers at the Same Location NPPES 14

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

DR. ROGER ALBERT MOUSHABEK M.D.
Internal Medicine
12370 HESPERIA RD, SUITE 6
VICTORVILLE, CA 92395
San Bernardino County (760) 952-1222
WETTSTEIN SAWAN MEDICAL GROUP INC
General Practice
12370 HESPERIA RD, SUITE 15
VICTORVILLE, CA 92395
San Bernardino County (760) 241-7773
DR. VERONICA D CONTRERAS D.O.
Family Medicine
12370 HESPERIA RD, 15
VICTORVILLE, CA 92395
San Bernardino County (760) 261-5292
VVIPA MEDICAL GROUP INC
Clinic/Center
12370 HESPERIA RD, SUITE 6
VICTORVILLE, CA 92395
San Bernardino County (760) 245-4747
DR. AELITA KENNEDY M.D.
Internal Medicine
12370 HESPERIA RD, SUITE 6
VICTORVILLE, CA 92395
San Bernardino County (760) 245-4747
GENNESI MENDEZ
Pharmacist
12370 HESPERIA RD
VICTORVILLE, CA 92395
San Bernardino County (760) 531-4059
MR. ANTHONY CHARLES SUTTON PA-C
Physician Assistant (Medical)
12370 HESPERIA RD, SUITE 6
VICTORVILLE, CA 92395
San Bernardino County (760) 245-4747
KYLE J. SCHELL, O.D., INC.
Optometrist
12370 HESPERIA RD, # 11
VICTORVILLE, CA 92395
San Bernardino County (760) 241-1010

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 Heritage Victor Valley Medical Group's NPI number?

The NPI number for Heritage Victor Valley Medical Group is 1902356561. It was assigned to this organization in the NPPES registry on October 7, 2016.

Where is Heritage Victor Valley Medical Group located?

Heritage Victor Valley Medical Group is located at 12370 Hesperia Rd Suite 28, Victorville, CA 92395. The listed phone number is (714) 456-6966.

What is Heritage Victor Valley Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Heritage Victor Valley Medical Group was last updated on October 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.