Active NPI
Luis Velazquez
- Behavior Technician
- San Mateo, CA
National Provider Identifier
1427519222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 424 Peninsula Ave
San Mateo, CA 94401-1653 - Phone
- (650) 286-4396
- NPI assigned
- Mar 26, 2019
- Last updated
- Apr 21, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NU | Primary |
Addresses
Primary practice location
424 Peninsula Ave
San Mateo, CA 94401-1653
Mailing address
1025 Atlantic Ave Ste 101
Alameda, CA 94501-1188
Other practice location 1
8701 Maitland Summit Blvd
Orlando, FL 32810-5915
Phone (407) 574-4629
Other practice location 2
2080 Addison St # 302
Berkeley, CA 94704-1692
Phone (415) 989-5000
Other practice location 3
3419 Valle Verde Dr
Napa, CA 94558-2414
Phone (707) 299-8250
Other practice location 4
801 Jefferson St Ste 3&45&6
Fairfield, CA 94533-5557
Phone (707) 720-3869
Other practice location 5
1025 Atlantic Ave Ste 101
Alameda, CA 94501-1188
Phone (916) 538-8982
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1427519222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 ATLANTIC AVE STE 101",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945011188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 PENINSULA AVE",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944011653",
"telephone_number": "650-286-4396"
}
],
"practiceLocations": [
{
"address_1": "8701 Maitland Summit Blvd",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328105915",
"country_code": "US",
"telephone_number": "407-574-4629",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2080 Addison St # 302",
"address_purpose": "LOCATION",
"city": "Berkeley",
"state": "CA",
"postal_code": "947041692",
"country_code": "US",
"telephone_number": "415-989-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3419 Valle Verde Dr",
"address_purpose": "LOCATION",
"city": "Napa",
"state": "CA",
"postal_code": "945582414",
"country_code": "US",
"telephone_number": "707-299-8250",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "801 Jefferson St Ste 3&45&6",
"address_purpose": "LOCATION",
"city": "Fairfield",
"state": "CA",
"postal_code": "945335557",
"country_code": "US",
"telephone_number": "707-720-3869",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1025 Atlantic Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Alameda",
"state": "CA",
"postal_code": "945011188",
"country_code": "US",
"telephone_number": "916-538-8982",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELAZQUEZ",
"first_name": "LUIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-26",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.