Active NPI
Luis Alfredo Velazquez, DDS
- Dentist
- San Bernardino, CA
National Provider Identifier
1265972756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 101056
- Practice address
- 189 N E St
San Bernardino, CA 92401-1901 - Phone
- (909) 383-8328
- Fax
- (909) 383-8332
- NPI assigned
- Mar 2, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 101056 | CA | Primary |
Addresses
Primary practice location
189 N E St
San Bernardino, CA 92401-1901
Mailing address
6146 Medinah St
Fontana, CA 92336-5678
Phone (951) 446-9318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101056 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luis Alfredo Velazquez, D.D.S. Inc. | Dentist | Current | Accepting new patients |
| Alfredo Velazquez DDS, Inc | Dentist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Rancho Cucamonga, CA
- NPI 1851918866
-
- Dentist
- San Bernardino, CA
- NPI 1124227947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488412800000",
"number": "1265972756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6146 MEDINAH ST",
"city": "FONTANA",
"state": "CA",
"postal_code": "923365678",
"telephone_number": "951-446-9318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 N E ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924011901",
"telephone_number": "909-383-8328",
"fax_number": "909-383-8332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELAZQUEZ",
"first_name": "LUIS",
"middle_name": "ALFREDO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-02",
"last_updated": "2017-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "101056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.