Active NPI
Eliana Velasco
- Marriage & Family Therapist
- Van Nuys, CA
National Provider Identifier
1629443734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 113260
- Practice address
- 14550 Sherman Way
Van Nuys, CA 91405-2210 - Phone
- (818) 901-4879
- NPI assigned
- Dec 1, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 113260 | CA | Primary |
Addresses
Primary practice location
14550 Sherman Way
Van Nuys, CA 91405-2210
Mailing address
14550 Sherman Way
Van Nuys, CA 91405-2210
Phone (818) 901-4879
Other practice location 1
911 San Pascual Ave
Los Angeles, CA 90042-3032
Phone (323) 302-1422
Other practice location 2
911 San Pascual Ave
Los Angeles, CA 90042-3032
Phone (323) 302-1422
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": "1448928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574726400000",
"number": "1629443734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14550 SHERMAN WAY",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914052210",
"telephone_number": "818-901-4879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14550 SHERMAN WAY",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914052210",
"telephone_number": "818-901-4879"
}
],
"practiceLocations": [
{
"address_1": "911 San Pascual Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900423032",
"country_code": "US",
"telephone_number": "323-302-1422",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "911 San Pascual Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900423032",
"country_code": "US",
"telephone_number": "323-302-1422",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELASCO",
"first_name": "ELIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-01",
"last_updated": "2019-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "113260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.