Miriam A Velazquez, DO
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Rancho Dominguez, CA
NPI 1063919249 · NPPES record last updated Feb 3, 2026
Key facts
- NPI
- 1063919249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 20A19380 (CA)
- Practice address
- 20001 S Rancho Way
Rancho Dominguez, CA 90220-6318 - Phone
- (310) 225-3221
- Fax
- (310) 698-7040
- NPI assigned
- Apr 12, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Affiliated Pathologists Medical Group, Inc.
Excel Pathology
Practice addresses (Care Compare)
1100 W Stewart Dr
Orange, CA 92868-3849
Phone (714) 771-8912
999 San Bernardino Rd
Upland, CA 91786-4920
Phone 909985281126294
Hospital & facility affiliations
- San Antonio Regional Hospital
- Providence St. Joseph Hospital
- City of Hope Helford Clinical Research Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240821004307 | CA | Practitioner - Pathology | 3779021761 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A19380 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Pathology | Anatomic Pathology & Clinical Pathology | Current |
Accepting new patients |
| Dulce R de Castro M D a Professional Corporation | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Affiliated Pathologists Medical Group, Inc. | Anatomic Pathology & Clinical Pathology | Current |
Accepting new patients |
| Ut Physicians | Past | Accepting new patients | |
| Soc Pathology Medical Group Inc. | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Pih Health Good Samaritan Hospital | Past | Accepting new patients |
Locations
1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000
1100 W Stewart Dr
Orange, CA 92868
Phone (714) 532-8620
20001 S Rancho Way
Rancho Dominguez, CA 90220
Phone (310) 225-3221
350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500
10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002
1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350
999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 20A19380 | CA | Yes |
Addresses
Primary practice location
20001 S Rancho Way
Rancho Dominguez, CA 90220-6318
Mailing address
20001 S Rancho Way
Rancho Dominguez, CA 90220-6318
Phone (310) 225-3221
Other providers in Rancho Dominguez, CA
- Shezfit
- Soc Pathology Medical Group Inc.
- Adam Stelling
- Georgia Liles Tunstill
- Uniscoat Inc.
- Jeffrey Bob Virgin
- Yong Wung Yoo
All providers in Rancho Dominguez, CA · Anatomic Pathology & Clinical Pathology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.