NPIMap

Organization Active NPI

Antero Velez MD, Inc

  • Primary Care Clinic/Center
  • Woodland Hills, CA
National Provider Identifier
1063887222
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A30678 Issued in CA
Legal business name
ANTERO VELEZ MD, INC
Practice address
21301 Erwin St Unit 237
Woodland Hills, CA 91367-3789
Phone
(818) 310-3293
NPI assigned
Dec 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Authorized official

Name
Antero Velez, MDNPI 1962588129
Title
Owner
Phone
(818) 310-3293

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A30678 CA Primary

Addresses

Primary practice location

21301 Erwin St Unit 237
Woodland Hills, CA 91367-3789

Mailing address

21301 Erwin St Unit 237
Woodland Hills, CA 91367-3789
Phone (818) 310-3293

Other identifiers 1

IdentifierTypeStateIssuer
A30678MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1063887222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21301 ERWIN ST UNIT 237",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913673789",
            "telephone_number": "818-310-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21301 ERWIN ST UNIT 237",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913673789",
            "telephone_number": "818-310-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTERO VELEZ MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-14",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "ANTERO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-310-3293",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A30678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A30678",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.