Active NPI
Juan M Velez, MD, Inc
- Clinic/Center
- Orange, CA
National Provider Identifier
1265604078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- G67887
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OOG67887 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI 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.