Individual provider Active NPI

Virna Veloso, MD

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1063473932
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A065220 Issued in CA
Practice address
1025 W Olympic Blvd
Los Angeles, CA 90015-1329
Phone
(213) 236-0312
NPI assigned
Mar 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A065220 CA Primary

Addresses

Primary practice location

1025 W Olympic Blvd
Los Angeles, CA 90015-1329

Mailing address

1025 W Olympic Blvd
Los Angeles, CA 90015-1329
Phone (213) 236-0312

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
I20110531000478 CA Practitioner - Internal Medicine 4587841507 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65220CAMDPharmacist
A065220CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sansum Clinic Current Accepting new patients
Sansum Clinic CurrentSince Sep 17, 2018 Accepting new patients
Clinicas del Camino Real Inc CurrentSince Aug 17, 2015 Accepting new patients
Sansum Clinic CurrentSince Sep 17, 2018 Accepting new patients
Lompoc Valley Medical Center Internal Medicine CurrentSince Jan 15, 2019 Accepting new patients
Clinicas del Camino Real Inc CurrentSince Aug 17, 2015 Accepting new patients
Clinicas del Camino Real Inc Current Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine Past Accepting new patients

Locations

1515 E Ocean Ave
Lompoc, CA 93436
Phone (805) 737-3300

1225 N H St
Lompoc, CA 93436
Phone (805) 737-8700

136 N 3rd St
Lompoc, CA 93436
Phone (805) 736-1253

650 Meta St
Oxnard, CA 93030
Phone (805) 487-5351

215 Pesetas Ln
Santa Barbara, CA 93110
Phone (805) 681-1765

500 E Main St
Santa Paula, CA 93060
Phone (805) 933-0895

200 S Wells Rd
Ventura, CA 93004
Phone (805) 647-6322

Organizations & group practices 8

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1063473932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900151329",
            "telephone_number": "213-236-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900151329",
            "telephone_number": "213-236-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELOSO",
        "first_name": "VIRNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A065220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.