Glenn Velasquez

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

4223 Landriano Ave
North Las Vegas, NV 89084-4941

Phone

(408) 745-9402

Fax

(702) 357-8317

NPI assigned

Jun 22, 2023

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": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1124704531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4223 LANDRIANO AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890844941",
            "telephone_number": "408-745-9402",
            "fax_number": "702-357-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4223 LANDRIANO AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890844941",
            "telephone_number": "408-745-9402",
            "fax_number": "702-357-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASQUEZ",
        "first_name": "GLENN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vegas Health Inc
• Vegas Health LLC
• Paul Vejabul, O.D.
• Cynthia Dora Velarde
• Ernesto U Velasquez
• Sandra Velasquez
• Angela Velay
• Dianlys Velazquez Gonzalez
• Elber Velazquez Parra
• David Lucio Velazquez

• Personal Care Attendant in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Personal Care Attendant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.