Individual provider Active NPI

James Guadalupe Velasquez, MSW, LCSW

  • Clinical Social Worker
  • Bakersfield, CA
National Provider Identifier
1245361930
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
91998 Issued in CA
Practice address
6313 Schirra CT Ste 2
Bakersfield, CA 93313-2195
Phone
(661) 316-3041
NPI assigned
Mar 7, 2007
Last updated
Nov 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 91998 CA Primary

Addresses

Primary practice location

6313 Schirra CT Ste 2
Bakersfield, CA 93313-2195

Mailing address

6313 Schirra CT Ste 2
Bakersfield, CA 93313-2195
Phone (661) 316-3041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4100 Truxtun Ave
Suite 304
Bakersfield, CA 93309-0685

5906 Blazing Star LN
Bakersfield, CA 93306-7695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
91998CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1245361930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6313 SCHIRRA CT STE 2",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933132195",
            "telephone_number": "661-316-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6313 SCHIRRA CT STE 2",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933132195",
            "telephone_number": "661-316-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASQUEZ",
        "first_name": "JAMES",
        "middle_name": "GUADALUPE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "91998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.