NPIMap

Individual provider Active NPI

Joel Quijano Velasquez, MD

  • Internal Medicine Physician
  • Victorville, CA
National Provider Identifier
1639175490
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A051953 Issued in CA
Practice address
12677 Hesperia Rd
Suite 130
Victorville, CA 92395-7735
Phone
(760) 241-7763
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A051953 CA Primary

Addresses

Primary practice location

12677 Hesperia Rd
Suite 130
Victorville, CA 92395-7735

Mailing address

12677 Hesperia Rd
Suite 130
Victorville, CA 92395-7735
Phone (760) 241-7763

Other identifiers 1

IdentifierTypeStateIssuer
A051953OtherCALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110322000080 CA Practitioner - Internal Medicine 0648453167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joel Q Velasquez MD IncGroup PAC ID 9830372358, 3 clinicians

Practice addresses (Care Compare)

12677 Hesperia Rd
Suite 130
Victorville, CA 92395-7735
Phone (760) 241-7763

Hospital & facility affiliations

  • Vanura Home Health Services, Inc Home health agency, Rancho Cucamonga, CA, CCN 058181
  • Imperial Home Health Home health agency, Victorville, CA, CCN 059033
  • Providence Home Health High Desert Home health agency, Hesperia, CA, CCN 059315
  • Linden Home Health Care Inc Home health agency, Los Angeles, CA, CCN 758177
  • Green Valley Home Health Services, Inc Home health agency, Apple Valley, CA, CCN 058269
  • Providence St Mary Medical Center Hospital, Apple Valley, CA, CCN 050300
  • Victor Valley Global Medical Center Hospital, Victorville, CA, CCN 050517
  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099

Merit-based Incentive Payment System (MIPS)

Final score
98.09 of 100Reported as group
Quality
97.67
Promoting interoperability
99
Improvement activities
40
Cost
80.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A051953CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary Medical Center Past Accepting new patients
Victor Valley Community Hospital Past Accepting new patients
Desert Valley Hospital, LLC Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1639175490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12677 HESPERIA RD",
            "address_2": "SUITE 130",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957735",
            "telephone_number": "760-241-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12677 HESPERIA RD",
            "address_2": "SUITE 130",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957735",
            "telephone_number": "760-241-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASQUEZ",
        "first_name": "JOEL",
        "middle_name": "QUIJANO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A051953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A051953",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.