Jennifer Munsayac Velasco

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

95026633 Issued in CA

Practice address

1401 Mission St Unit C5
South Pasadena, CA 91030-3287

Phone

(714) 767-6623

NPI assigned

Jun 28, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1407533995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MISSION ST UNIT C5",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303287",
            "telephone_number": "714-767-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MISSION ST UNIT C5",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303287",
            "telephone_number": "714-767-6623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12548 Schleisman Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Eastvale",
            "state": "CA",
            "postal_code": "917521064",
            "country_code": "US",
            "telephone_number": "714-767-6623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELASCO",
        "first_name": "JENNIFER",
        "middle_name": "MUNSAYAC",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95026633",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "95026633",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "95026633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Lorena Vargas
• Valerie Diane Vargas
• Ashish J Vashi, DDS
• Alisandra Renee Vasquez-Lopez, MSW, LCSW
• Sarai Eva Vazquez, B.A.
• Esmeralda Velazquez
• Arlene Veliz, MSW-
• Verdant Oak Behavioral Health, Inc.
• Aarthi Radhika Verma
• Victor Treatment Centers, Inc.

• Procedural Dermatology Physician in South Pasadena, CA
• Providers in South Pasadena, CA by specialty
• Procedural Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.