NPIMap

Organization Active NPI

Jeff Velasquez, DDS, Inc.

  • Dentist
  • Long Beach, CA
National Provider Identifier
1235521170
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50691 Issued in CA
Legal business name
JEFF VELASQUEZ, DDS, INC.
Practice address
541 W Willow St
Long Beach, CA 90806-2830
Phone
(562) 424-9473
Fax
(562) 989-1006
NPI assigned
Mar 2, 2015
Last updated
Mar 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Authorized official

Name
Jeff VelasquezNPI 1073731063
Title
Owner
Phone
(562) 424-9473

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
Dentist 122300000X 50691 CA Primary

Addresses

Primary practice location

541 W Willow St
Long Beach, CA 90806-2830

Mailing address

541 W Willow St
Long Beach, CA 90806-2830

Other identifiers 1

IdentifierTypeStateIssuer
1073731063OtherCANPPES.COMS.HHS.GOV.

National Provider Directory

National Provider Directory

Locations

541 W Willow St
Long Beach, CA 90806
Phone (562) 424-9473

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1235521170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 W WILLOW ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 W WILLOW ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062830",
            "telephone_number": "562-424-9473",
            "fax_number": "562-989-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF VELASQUEZ, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "VELASQUEZ",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-424-9473"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "50691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES.COMS.HHS.GOV.",
            "identifier": "1073731063",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.