Individual provider Active NPI

Veronica Velasquez-Morfin, M.D.

  • Family Medicine Physician
  • Placerville, CA
National Provider Identifier
1053495424
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A82869 Issued in CA
Practice address
4327 Golden Center Dr
Placerville, CA 95667-6260
Phone
(530) 621-7700
Fax
(530) 621-7707
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A82869 CA Primary

Addresses

Primary practice location

4327 Golden Center Dr
Placerville, CA 95667-6260

Mailing address

204 Cradle Mountain CT
El Dorado Hills, CA 95762-6615
Phone (530) 676-8078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140826002653 CA Order and Referring Only - Family PracticePractitioner - Family Practice 1456547652

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A82869CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Dorado County Community Health Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: veronica.velasquezmorfin@edchc.eclinicaldirectplus.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1053495424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 CRADLE MOUNTAIN CT",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957626615",
            "telephone_number": "530-676-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4327 GOLDEN CENTER DR",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676260",
            "telephone_number": "530-621-7700",
            "fax_number": "530-621-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASQUEZ-MORFIN",
        "first_name": "VERONICA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A82869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

Verify at the official NPI Registry.