Luis Alberto Velasco Jr.

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1219 Lomita Blvd Ste 104-106
Harbor City, CA 90710-2111

Phone

(424) 328-5297

NPI assigned

Jun 7, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1013584291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST STE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677807",
            "telephone_number": "818-345-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 LOMITA BLVD STE 104-106",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102111",
            "telephone_number": "424-328-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASCO",
        "first_name": "LUIS",
        "middle_name": "ALBERTO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sienne Santamaria Van Enk, O.D.
• Thomas V. Vandergast, MD
• Kelly Ann Vanluven, LCSW
• Jonathan Vargas, MD
• Rosa Maria Vasquez, MD
• Jemeline Venadas, RD
• Maria G. Verderame, MD
• Gilda Vigeh, DO
• Brenda Villa Martinez
• Jennifer Guzman Villanueva

• Behavior Technician in Harbor City, CA
• Providers in Harbor City, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.