Individual provider Active NPI

Blue Christopher Velasco-Pascua, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • West Covina, CA
National Provider Identifier
1477420115
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95034736 Issued in CA
Practice address
1501 W Cameron Ave # 300-129
West Covina, CA 91790-2724
Phone
(805) 616-7452
NPI assigned
Oct 18, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95034736 CA Primary

Addresses

Primary practice location

1501 W Cameron Ave # 300-129
West Covina, CA 91790-2724

Mailing address

321 W Rincon St Unit 120
Corona, CA 92878-5700
Phone (805) 616-7452

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

State licenses

LicenseStateTypeSpecialty
95034736CAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1760745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1477420115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 W RINCON ST UNIT 120",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928785700",
            "telephone_number": "805-616-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W CAMERON AVE # 300-129",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902724",
            "telephone_number": "805-616-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASCO-PASCUA",
        "first_name": "BLUE",
        "middle_name": "CHRISTOPHER",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-18",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95034736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.