Healthcare Provider Details

I. General information

NPI: 1992761241
Provider Name (Legal Business Name): VICTORIA AMANDA DELONEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 BROADWAY STE 2100
SACRAMENTO CA
95820
US

IV. Provider business mailing address

8400 RED FOX WAY
ELK GROVE CA
95758
US

V. Phone/Fax

Practice location:
  • Phone: 916-874-1391
  • Fax: 916-874-2297
Mailing address:
  • Phone: 916-684-5937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License NumberRN498696
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN498696
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code163WG0600X
TaxonomyGerontology Registered Nurse
License NumberRN498696
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: