Active NPI
Heidy Velasquez
- Peer Specialist
- Fresno, CA
National Provider Identifier
1366069452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 4891 E Kings Canyon Rd
Fresno, CA 93727-3811 - Phone
- (559) 255-8395
- Fax
- (559) 255-1656
- NPI assigned
- Jul 6, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
4891 E Kings Canyon Rd
Fresno, CA 93727-3811
Mailing address
4879 E Kings Canyon Rd
Fresno, CA 93727-3811
Phone (559) 527-9678
Other practice location 1
4861 E Kings Canyon Rd
Fresno, CA 93727-3811
Phone (559) 255-8395
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Fresno Center | Peer Specialist | Current | Accepting new patients |
| The Fresno Center | Past | Accepting new patients |
Locations
4891 E Kings Canyon Rd
Fresno, CA 93727
4861 E Kings Canyon Rd
Fresno, CA 93727
4879 E Kings Canyon Rd
Fresno, CA 93727
Phone 5592558395 ext. 242
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.
-
- Psychiatry Physician
- Fresno, CA
- NPI 1437347721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593993600000",
"number": "1366069452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4879 E KINGS CANYON RD",
"city": "FRESNO",
"state": "CA",
"postal_code": "937273811",
"telephone_number": "559-527-9678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4891 E KINGS CANYON RD",
"city": "FRESNO",
"state": "CA",
"postal_code": "937273811",
"telephone_number": "559-255-8395",
"fax_number": "559-255-1656"
}
],
"practiceLocations": [
{
"address_1": "4861 E Kings Canyon Rd",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937273811",
"country_code": "US",
"telephone_number": "559-255-8395",
"fax_number": "559-255-1656",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELASQUEZ",
"first_name": "HEIDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-06",
"last_updated": "2020-07-06",
"certification_date": "2020-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.