Individual provider Active NPI

Wendy Velasco, M.D.

  • Emergency Medicine Physician
  • Indio, CA
National Provider Identifier
1235382052
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A120444 Issued in CA
Practice address
81709 Dr Carreon Blvd Ste C3
Indio, CA 92201-5577
Phone
(760) 541-5888
Fax
(760) 775-4818
NPI assigned
Oct 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A120444 CA Primary
Emergency Medicine Physician 207P00000X 25MA08602600 NJ
General Practice Physician 208D00000X A120444 CA

Addresses

Primary practice location

81709 Dr Carreon Blvd Ste C3
Indio, CA 92201-5577

Mailing address

81767 Dr Carreon Blvd Ste 201
Indio, CA 92201-5599
Phone (760) 775-4181

Other practice location 1

74000 Country Club Dr Ste J1
Palm Desert, CA 92260-1679
Phone (760) 541-5888

Other practice location 2

79440 Corporate Center Dr Ste 110
LA Quinta, CA 92253-7243
Phone (760) 541-5888

Other names 1

  • Dr. Wendy Velasco Professional name

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
I20120718000656 CA Practitioner - Emergency Medicine 2567628639 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A120444CAMDEmergency Medicine Physician
25MA08602600NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Ana Physicians Group, PC Emergency Medicine CurrentSince Jan 1, 2015 Accepting new patients
Victory Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Jan 15, 2013 Accepting new patients
Coachella Valley Care Medical Associates Inc CurrentSince Nov 1, 2025 Accepting new patients
Coachella Valley Care Medical Associates Inc Past Accepting new patients
Anesthesia Consultants PC Past Accepting new patients
Memorial Emergency Physicians Medical Group, Inc Past Accepting new patients

Locations

81767 Doctor Carreon Blvd
Ste 201
Indio, CA 92201

47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 6

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": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1235382052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81767 DR CARREON BLVD STE 201",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015599",
            "telephone_number": "760-775-4181",
            "fax_number": "760-775-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81709 DR CARREON BLVD STE C3",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015577",
            "telephone_number": "760-541-5888",
            "fax_number": "760-775-4818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "74000 Country Club Dr Ste J1",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922601679",
            "country_code": "US",
            "telephone_number": "760-541-5888",
            "fax_number": "760-775-4818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "79440 Corporate Center Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "LA Quinta",
            "state": "CA",
            "postal_code": "922537243",
            "country_code": "US",
            "telephone_number": "760-541-5888",
            "fax_number": "760-775-4818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELASCO",
        "first_name": "WENDY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A120444",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA08602600",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A120444",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "VELASCO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Indio, CA

Sources for this page

Verify at the official NPI Registry.