Justin Anthony Velasco

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

26647 Issued in CA

Practice address

13960 Peach Hill Rd
Moorpark, CA 93021-2363

Phone

(805) 292-0700

NPI assigned

Dec 17, 2024

Last updated

Dec 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1457168932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27709 ADONIS LN",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913513407",
            "telephone_number": "818-621-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13960 PEACH HILL RD",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212363",
            "telephone_number": "805-292-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASCO",
        "first_name": "JUSTIN",
        "middle_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "26647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alana Van Dyn Hoven
• Vanessa Acero Psychological Inc
• Vargo Physical Therapy, Inc.
• James B Vargo III, MPT
• Jeffrey Raymond Vargo IX, PT
• Ventura County Community College District (Moorpark College, Student Health Services)
• Nhat Cong Vo, M.D.
• Julie Von Mulldorfer, OTR/L
• Kathryn Wagenbach, PHARMD, RPH
• Walgreen Co (Walgreens #10738)

• Occupational Therapist in Moorpark, CA
• Providers in Moorpark, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.