Gustavo Velasquez MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GUSTAVO VELASQUEZ MD INC

Practice address

4377 W Vermillion Dr
South Jordan, UT 84009-7776

Phone

(801) 302-7798

NPI assigned

Jan 15, 2026

Last updated

Jan 15, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gustavo Valesquez, MD

Title

Owner

Phone

(801) 302-7798

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gustavo Velasquez, MD

  • Family Medicine Physician
  • South Jordan, UT
  • NPI 1821211988

  TX

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1003774118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4377 W VERMILLION DR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840097776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4377 W VERMILLION DR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840097776",
            "telephone_number": "801-302-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUSTAVO VELASQUEZ MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "VALESQUEZ",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-302-7798",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Will Bradon John Grove, CMHC, LPC
• Amy L Grubbs, NUTRITIONIST
• Guardian Transportation
• Samantha Fay Guillory, CSW
• Natalie Gulbraa-England
• Ian Guzy
• Robert Jason Gygi, PHARMD.
• Liesl Hadley, PA-C
• Ilana Hailstone
• David Todd Hakanson Sr., DC

• Family Medicine Physician in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.