Active NPI
Irma Velasco, PMHNP-BC, FNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1508457367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95028418
- Practice address
- 1891 Effie St
Los Angeles, CA 90026-1711 - Phone
- (323) 644-2000
- NPI assigned
- Feb 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1015581 | TX | |
| Family Nurse Practitioner | 363LF0000X | 1015581 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 95028418 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95028418 | CA | Primary |
Addresses
Primary practice location
1891 Effie St
Los Angeles, CA 90026-1711
Mailing address
6933 Santa Monica Blvd Apt 307
Los Angeles, CA 90038-1193
Phone (956) 451-6113
Other practice location 1
6933 Santa Monica Blvd Apt 307
Los Angeles, CA 90038-1193
Phone (956) 451-6113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1891 Effie St
Los Angeles, CA 90026-1793
6933 Santa Monica Blvd
Apt 307
Los Angeles, CA 90038-1193
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1015581 | TX | MD | Family Nurse Practitioner |
| 95028418 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateways Hospital & Mental Health Center | Single Specialty | Current | Accepting new patients |
Locations
1891 Effie St
Los Angeles, CA 90026
Interoperability endpoints
- irma.velasco.1@22683.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1720151137
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756080000000",
"number": "1508457367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6933 SANTA MONICA BLVD APT 307",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900381193",
"telephone_number": "956-451-6113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1891 EFFIE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900261711",
"telephone_number": "323-644-2000"
}
],
"practiceLocations": [
{
"address_1": "6933 Santa Monica Blvd Apt 307",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900381193",
"country_code": "US",
"telephone_number": "956-451-6113",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELASCO",
"first_name": "IRMA",
"credential": "PMHNP-BC, FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-03",
"last_updated": "2025-08-25",
"certification_date": "2025-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1015581",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1015581",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "95028418",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95028418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.