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VICTOR COMMUNITY SUPPORT SERVICES, INC.
NPI 1962392704
Community/Behavioral Health in San Jose, CA

Active since July 03, 2025
97 E BROKAW RD STE 150, SAN JOSE, CA 95112(408) 726-1849(530) 230-1264 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Victor Community Support Services, Inc. NPPES

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

VICTOR COMMUNITY SUPPORT SERVICES, INC. (NPI 1962392704) is a healthcare organization registered as a community/behavioral health in San Jose, California and active in the NPI registry since July 2025. The organization lists Angie R Wiechert, Director Of Financial Analysis, as its authorized official.

NPPES Registry Identity

NPI1962392704
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameVICTOR COMMUNITY SUPPORT SERVICES, INC.
Location Address97 E BROKAW RD STE 150San Jose, CA 95112-4221
Mailing Address1360 E Lassen AveChico, CA 95973-7823 · (530) 893-0758 · Fax (530) 893-0502
Phone(408) 726-1849
Fax(530) 230-1264
Organization SubpartNo
Authorized OfficialAngie R WiechertDirector Of Financial Analysis · (530) 230-1210
Enumeration DateJuly 3, 2025
Last NPPES UpdateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
✔ NPI 1962392704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
97 E BROKAW RD STE 150, San Jose, CA 95112
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Other Names 1

Other NameVictor Community Support Services, San Jose

Other Identifiers 1

Other01042CA · Legal Entity Number

Other Providers at the Same Location NPPES 11

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

JULIO C GOMEZ LMSW, ACSW
Social Worker
97 E BROKAW RD STE 150
SAN JOSE, CA 95112
Santa Clara County (209) 465-1080
DAISY V ESPINOZA
Peer Specialist
97 E BROKAW RD STE 150
SAN JOSE, CA 95112
Santa Clara County (408) 726-1849
ARNIASHAROSE LAURETA
Rehabilitation Practitioner
97 E BROKAW RD STE 150
SAN JOSE, CA 95112
Santa Clara County (408) 726-1849
JENNIFER KRYSTAL DURAZO
Student in an Organized Health Care Education/Training Program
97 E BROKAW RD STE 150
SAN JOSE, CA 95112
Santa Clara County (209) 465-1080
DIANA PESQUEIRA APCC
Counselor (Mental Health)
97 E BROKAW RD STE 150
SAN JOSE, CA 95112
Santa Clara County (408) 726-1849
COURTNEY CARTER LMFT
Marriage & Family Therapist
97 E BROKAW RD STE 150
SAN JOSE, CA 95112
Santa Clara County (408) 726-1849
MR. TUAN PHAN
Social Worker
97 E BROKAW RD STE 150
SAN JOSE, CA 95112
Santa Clara County (408) 464-3632
LONDYN KYRA PITTS
Social Worker
97 E BROKAW RD STE 150
SAN JOSE, CA 95112
Santa Clara County (408) 726-1849

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 Community Support Services, Inc.'s NPI number?

The NPI number for Victor Community Support Services, Inc. is 1962392704. It was assigned to this organization in the NPPES registry on July 3, 2025. The provider is also known as Victor Community Support Services, San Jose.

Where is Victor Community Support Services, Inc. located?

Victor Community Support Services, Inc. is located at 97 E Brokaw Rd Ste 150, San Jose, CA 95112. The listed phone number is (408) 726-1849.

What is Victor Community Support Services, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Victor Community Support Services, Inc. was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.