Juan Fernando Velarde, CAARR CERTIFICATE

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

101Y00000X Issued in CA

Practice address

1295 W State St Ste 102
El Centro, CA 92243-2881

Phone

(760) 353-0763

NPI assigned

Jan 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Icbhs

  • Addiction (Substance Use Disorder) Counselor
  • El Centro, CA
  • NPI 1619094984
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366597643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 C ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272099",
            "telephone_number": "760-351-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 W STATE ST STE 102",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922432881",
            "telephone_number": "760-353-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELARDE",
        "first_name": "JUAN",
        "middle_name": "FERNANDO",
        "name_prefix": "Mr.",
        "credential": "CAARR CERTIFICATE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "101Y00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga Cristina Vega, M.A.ED.COUNSELING
• Steve Vega
• Vein Clinic Inc
• Denisse Vela Dominguez
• Stephanie Alexandra Vela
• Dariana Velasco
• Adrian Daniel Velasquez
• Adriana Velasquez
• Carlos Velasquez
• Denise Y. Velasquez

• Addiction (Substance Use Disorder) Counselor in El Centro, CA
• Providers in El Centro, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.