Organization Active NPI

Juan M Velez, MD, Inc

  • Clinic/Center
  • Orange, CA
National Provider Identifier
1265604078
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
G67887 Issued in CA
Legal business name
JUAN M VELEZ, MD, INC
Practice address
805 W la Veta Ave Ste 101
Orange, CA 92868-3928
Phone
(714) 997-9595
Fax
(714) 997-1098
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Dr. Juan Manuel Velez, MD
Title
President
Phone
(714) 997-9595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X G67887 CA Primary

Addresses

Primary practice location

805 W la Veta Ave Ste 101
Orange, CA 92868-3928

Mailing address

805 W la Veta Ave Ste 101
Orange, CA 92868-3928
Phone (714) 997-9595

Other identifiers 1

IdentifierTypeStateIssuer
OOG67887MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1265604078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W LA VETA AVE STE 101",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683928",
            "telephone_number": "714-997-9595",
            "fax_number": "714-997-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W LA VETA AVE STE 101",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683928",
            "telephone_number": "714-997-9595",
            "fax_number": "714-997-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN M VELEZ, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-997-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "G67887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOG67887",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.