MEDICARE: VICTORIA FAITH ROSE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	172V00000X	Community Health Worker
3	372600000X	Adult Companion
4	175T00000X	Peer Specialist	CA

General Provider Information

NPI Number	:	1548935935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA FAITH ROSE

Provider Business Mailing Address
First Line	:	1395 N LINCOLN ST APT 1237
Second Line	:
City	:	DIXON
State	:	CA
Zip	:	95620-9251
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3951 PERFORMANCE DR APT 1237
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95838-3264
Country	:	US
Telephone Number	:	916-921-0828
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2021
Last Update Date	:	05/30/2025

Similar Medicare Providers

1275541310 — MS. CHRISTIE C. CASE LCSW
Practice Location Address:

3951 PERFORMANCE DR , SUITE G
SACRAMENTO, CA
95838-3264

Practice Phone: 916-921-0828
Practice Fax: 916-921-0333

1508875055 — ELAINE PIKE
Practice Location Address:

3951 PERFORMANCE DR , SUITE G
SACRAMENTO, CA
95838-3264

Practice Phone: 916-921-0828
Practice Fax: 916-648-8008

1659381119 — ALICIA TURNER
Practice Location Address:

3951 PERFORMANCE DR , SUITE G
SACRAMENTO, CA
95838-3264

Practice Phone: 916-921-0828
Practice Fax: 916-648-8008

1851301956 — MR. GRANT MOSES MFT INTERN
Practice Location Address:

3951 PERFORMANCE DR STE G
SACRAMENTO, CA
95838-3264

Practice Phone: 916-921-0828
Practice Fax: 916-921-0333

1477565687 — MERLYN FUENTES-VERGARA LCSW
Practice Location Address:

3951 PERFORMANCE DR STE G
SACRAMENTO, CA
95838-3264

Practice Phone: 916-921-0828
Practice Fax: 916-921-0333

1215040076 — MS. MARILYN JANE ROSE M.F.T.
Practice Location Address:

3951 PERFORMANCE DR , SUITE G
SACRAMENTO, CA
95838-3264

Practice Phone: 916-921-0828
Practice Fax: 916-648-8008

1407969298 — CLARISSA J CASTILLO M.A., MFT
Practice Location Address:

3951 PERFORMANCE DR STE G
SACRAMENTO, CA
95838-3264

Practice Phone: 916-921-0828
Practice Fax: 916-648-8008

Directions to “ VICTORIA FAITH ROSE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.