Individual provider Active NPI

Kara Marie Velez, LAC

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1356834709
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
18131 Issued in CA
Practice address
16776 Bernardo Center Dr Ste 211
San Diego, CA 92128-2559
Phone
(619) 995-0966
Fax
(619) 431-2257
NPI assigned
Jun 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 18131 CA Primary

Addresses

Primary practice location

16776 Bernardo Center Dr Ste 211
San Diego, CA 92128-2559

Mailing address

PO Box 28882
San Diego, CA 92198-0882
Phone (619) 995-0966

Other practice location 1

15731 Bernardo Heights Pkwy Ste 104
Room 145
San Diego, CA 92128-3156
Phone (619) 995-0966

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

LicenseStateTypeSpecialty
18131CAMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1356834709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28882",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921980882",
            "telephone_number": "619-995-0966",
            "fax_number": "619-431-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16776 BERNARDO CENTER DR STE 211",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282559",
            "telephone_number": "619-995-0966",
            "fax_number": "619-431-2257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15731 Bernardo Heights Pkwy Ste 104",
            "address_2": "Room 145",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921283156",
            "country_code": "US",
            "telephone_number": "619-995-0966",
            "fax_number": "619-431-2257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELEZ",
        "first_name": "KARA",
        "middle_name": "MARIE",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "18131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.