Andrea Lesa Velasquez, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95003962 Issued in CA

Practice address

1405 California Ave
Dos Palos, CA 93620-2300

Phone

(209) 392-2111

Fax

(209) 392-2850

NPI assigned

May 12, 2017

Last updated

May 12, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrea.velasquez.p1@direct.castle.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Castle Family Health Centers Inc

  • Urgent Care Clinic/Center
  • Atwater, CA
  • NPI 1629246624
  Medicare reassignment NPD
• Castle Family Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Atwater, CA
  • NPI 1861181562
  NPD
• Castle Family Health Centers Inc.

  • Federally Qualified Health Center (FQHC)
  • Atwater, CA
  • NPI 1497778443
  NPD

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1265969935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 W CHILDS AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 CALIFORNIA AVE",
            "city": "DOS PALOS",
            "state": "CA",
            "postal_code": "936202300",
            "telephone_number": "209-392-2111",
            "fax_number": "209-392-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASQUEZ",
        "first_name": "ANDREA",
        "middle_name": "LESA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95003962",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN623045",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quantom-Leap, Inc.
• Julie S. Reynolds, P.T.
• Stuart R Schofield, DMD
• Stuart R. Schofield DMD PC
• Donna Pam Tucker, NP
• Tiffany Walker, DPT
• Yee Xiong, PA-C
• Celeste Zamora

• Family Nurse Practitioner in Dos Palos, CA
• Providers in Dos Palos, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.