MS. ASSUNTA MARIA VICKERS RN PHN NPI 1083837264

NPI Information

  • NPI: 1083837264
  • Provider Name: MS. ASSUNTA MARIA VICKERS, RN, PHN
  • Classification: Registered Nurse - 163WP0807X
  • Specialization: Psychiatric/Mental Health, Child & Adolescent
  • Entity Type: Individual
  • Address: 164 W HOSPITALITY LN STE 3
    SAN BERNARDINO, CA
    ZIP 92408
  • Phone: (909) 379-1505

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NPI Details

MS. Assunta Maria Vickers, RN, PHN is a psychiatric/mental health and child and adolescent registered nurse in San Bernardino, CA. MS. Assunta Maria Vickers, RN, PHN NPI is 1083837264. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

164 W HOSPITALITY LN STE 3
SAN BERNARDINO, CA
ZIP 92408-328
Phone: (909) 379-1505

The enumeration date for this NPI number is 4/10/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WA0400XRegistered NurseAddiction (Substance Use Disorder)333687CALIFORNIANo
2163WC0400XRegistered NurseCase Management333687CALIFORNIANo
3163WC1500XRegistered NurseCommunity Health333687CALIFORNIANo
4163WH0200XRegistered NurseHome Health333687CALIFORNIANo
5163WI0500XRegistered NurseInfusion Therapy333687CALIFORNIANo
6163WM0102XRegistered NurseMaternal Newborn333687CALIFORNIANo
7163WN0003XRegistered NurseNeonatal, Low-Risk33687CALIFORNIANo
8163WP0200XRegistered NursePediatrics33687CALIFORNIANo
9163WP0807XRegistered NursePsychiatric/Mental Health, Child & Adolescent33687CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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